[Template] the three sentences that got my prior auth through
Something I noticed reading old threads that I have not seen said out loud.
The advice on external review in this community changed substantially around the start of last year, and nobody went back and updated the older posts. So depending on which thread the search engine hands you, you get two contradictory answers with the same confidence.
I have listed what I think the current consensus is below. Correct me — that is the point of posting it.
best — the order this archive was captured in
Three years on this site and the questions have not changed at all. Which is depressing or reassuring depending on the day.
Tracking number removed. It identifies both ends of a shipment.
Not convinced. The evidence does not support that reading.
appeal letter templates are in the wiki
the UK plan: step therapy required 20 medications first. Did them all, got approval. The order matters.
redact member ids and group numbers from every screenshot
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Denied for prior auth, resubmitted with prior authorization documentation, approved on appeal. The criteria exist, you just have to meet them.
Denied for prior auth, resubmitted with formulary documentation, approved on appeal. The criteria exist, you just have to meet them.
Strongly agree. Step therapy is predictable if you have the criteria.
copay is separate from coverage
That is net peptide content, not purity. Different number, different meaning.
do not suggest misrepresenting a diagnosis, that is fraud
You have restated the marketing copy. What is the actual substance here.
- 1redact member ids and group numbers from every screenshot9 comments in this branch · started by u/cardio_endpoint_c
- 2Tracking number removed. It identifies both ends of a shipment.4 comments in this branch · started by u/formulary_fighter