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 I expected, which is itself mildly interesting given how confidently people link the two in here. Caveats up front: one person, one lab, one assay,…
This is correct. Appeal letters work.
Copay was prior authorization for the copay then another 13% of the total. Read the actual plan document.
New Zealand plan: step therapy required 24 medications first. Did them all, got approval. The order matters.
external review is the appeal after insurance says no