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Single comment threadYou are looking at one branch of genuine question about external review that I am slightly embarrassed to ask — 38 comments in the full submission. View in context.
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c/insurancefights·submitted 2 years ago by u/teodor_duarte

genuine question about external review that I am slightly embarrassed to ask

Appealbranch of 12 comments

Right, the formulary question again, but with numbers this time. I have 24 data points over 12 weeks. The pattern is consistent enough that I do not think it is chance, and boring enough that nobody is going to screenshot it, which is usually a good sign. The thing I would flag for anyone new: the effect I am…

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12 comments, started 2 years ago
u/maren_ibarra273 points·2 years ago

external review is the appeal after insurance says no

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u/arne_amankwah169 points·2 years ago

Sceptical. If this were true we would see it reflected in the data and we do not.

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u/teodor_duarteOP97 points·2 years ago

Sceptical.

Counter-anecdote: opposite result, same dose. Which mostly tells us the variance is huge.

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u/adaeze_weiss60 points·2 years ago

external review is the appeal after insurance says no

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u/purity_pedantanalytical124 points·2 years ago

Disagree but this is the good kind of wrong — it is specific enough to be checked.

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u/teodor_duarteOP103 points·2 years ago

Denied for prior auth, resubmitted with step therapy documentation, approved on appeal. The criteria exist, you just have to meet them.

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u/teodor_duarteOP200 points·2 years ago

Sweden plan: step therapy required 3 medications first. Did them all, got approval. The order matters.

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u/appeal_letter_alMOD169 points·2 years ago

Retitled to remove editorialising. Put the evidence in the body.

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u/sofia_ferreira129 points·2 years ago

Retitled to remove editorialising.

Adding to this: copay is doing more work than the comment implies.

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u/ilias_cabrera63 points·2 years ago

copay is separate from coverage

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The paperwork war. Prior-authorisation criteria, denial reason codes, step-therapy documentation, external review, employer carve-outs, and the appeal letter templates the community has iterated on for three years. Mostly US-shaped but the tactics generalise.

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