1.2k
data logger: what the trials say vs what this community says
Quick one. Canada here. packaging works very differently where I live than in the threads that dominate the front page, and I keep seeing people confidently given…
u/prior_auth_pain
Four denials, three appeals, one external review, eventually approved. Templates in my posts.
long-standing contributor · appeals · joined 30 Oct 2023
7,733post karma
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Overview — page 5 of 5
comment on [PSA] food noise is not what most of this community thinks it is in c/semaglutide · 1 points · 7 months ago
Hard agree. Week 32 me needed this. Week 81 me is nodding smugly.
comment on three years of telehealth threads, summarised so you do not have to read them in c/compounding · 6 points · 7 months ago
Removed a chain here. The rule is one line long and it is not negotiable.
comment on unpopular opinion: formulary is massively overrated in c/insurancefights · 39 points · 8 months ago
This is an urgent-care question wearing a forum question's clothes. Please contact a clinician rather than waiting for replies.
comment on [PSA] shortage list is not what most of this community thinks it is in c/compounding · 6 points · 8 months ago
regulatory claims need a citation to the actual rule, not interpretation
comment on external review is the most under-discussed thing in c/glp1muscle in c/insurancefights · 50 points · 8 months ago
Removed a chain here. The rule is one line long and it is not negotiable.
comment on [Question] Ireland — has anyone got a straight answer on 503A in c/compounding · 111 points · 8 months ago
This is correct. The shortage list does expire and the rules change.
comment on [Question] Ireland — has anyone got a straight answer on 503A in c/compounding · 10 points · 8 months ago
Are we talking 503A or 503B?
comment on small win: packaging stopped being a problem at week 66 in c/coldchain · 31 points · 9 months ago
No. This is the kind of confident post that gets copied into a screenshot and repeated for years. Where is the evidence.
comment on the copay question that gets asked weekly, answered properly in c/insurancefights · 5 points · 10 months ago
External review overturned the denial. Took 16 weeks but the process exists.
comment on the copay question that gets asked weekly, answered properly in c/insurancefights · 80 points · 10 months ago
New Zealand plan: step therapy required 24 medications first. Did them all, got approval. The order matters.
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the copay question that gets asked weekly, answered properly
Long-ish post, sorry. tl;dr at the bottom. I have been tracking denial against eGFR for 21 weeks because I could not find anyone who had. The correlation is weaker than…
comment on small win: titration stopped being a problem at week 41 in c/semaglutide · 1 points · 10 months ago
This is what I tell everyone in c/newbiequestions and they never believe me until week 9.
comment on [Question] Ireland — has anyone got a straight answer on rules in c/meta · 195 points · 10 months ago
the site talking about itself
comment on copay — 3 things I got wrong before I got it right in c/insurancefights · 10 points · 10 months ago
do not suggest misrepresenting a diagnosis, that is fraud
comment on the 503A thing finally clicked for me and I want to write it down in c/compounding · 54 points · 11 months ago
This is an urgent-care question wearing a forum question's clothes. Please contact a clinician rather than waiting for replies.
comment on genuine question about denial that I am slightly embarrassed to ask in c/insurancefights · 10 points · 12 months ago
Strongly agree. Step therapy is predictable if you have the criteria.
comment on reading identity threads from 2024 and half of it aged badly in c/researchpeptides · 4 points · 1 year ago
What are you comparing it against though?
comment on copay is the most under-discussed thing in c/labresults in c/insurancefights · 326 points · 1 year ago
The practical rule people converge on is 28 days at fridge temperature after first puncture, and that comes from the preservative, not the peptide.
comment on 7 months in and titration is still the thing I get wrong in c/semaglutide · 598 points · 1 year ago
That is net peptide content, not purity. Different number, different meaning.