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Single comment threadYou are looking at one branch of reading external review threads from 2024 and half of it aged badly — 23 comments in the full submission. View in context.
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c/insurancefights·submitted 6 months ago by u/appeal_letter_al

reading external review threads from 2024 and half of it aged badly

Questionbranch of 5 comments

I have had 15 orders now and I keep a table, so here is the honest summary rather than a vibe. Material has been consistent. Communication has not. Shipping has varied by about 36 days on nominally the same lane, which matters more in summer than in February. The independent number came back 97.9% against a claimed…

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5 comments, started 6 months ago
u/ilias_cabrera107 points·6 months ago

say which country and which plan type

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u/rekha_vestergaard83 points·6 months ago

say which country and which plan type

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

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[removed]59 points·6 months ago

[removed by moderator]

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u/rekha_vestergaard20 points·6 months ago

denial reason codes matter, ask for the actual code

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u/appeal_letter_alOP31 points·6 months ago

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

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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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