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c/insurancefights·submitted 7 months ago by u/whois_wanda

switched from 7.5mg to 15mg and the sulphur burps got better, not worse

Questionbranch of 5 comments

Long-ish post, sorry. tl;dr at the bottom. I have been tracking prior authorization against ApoB for 37 weeks because I could not find anyone who had. The correlation is weaker than I expected, which is itself mildly interesting given how confidently people link the two in here. Caveats up front: one person, one lab,…

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5 comments, started 7 months ago
u/kasper_cabrera6 points·7 months ago

Not convinced. The evidence does not support that reading.

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u/prior_auth_painappeals2 points·7 months ago

do not suggest misrepresenting a diagnosis, that is fraud

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u/plain_titration3 points·7 months ago

appeal letter templates are in the wiki

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u/adaeze_weiss1 point·7 months ago

Strongly agree. Step therapy is predictable if you have the criteria.

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u/appeal_letter_al1 point·7 months ago

formulary exclusions are negotiable sometimes

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