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c/insurancefights·submitted 5 months ago by u/vito_beaulieu

the step therapy question that gets asked weekly, answered properly

Questionbranch of 10 comments

Genuinely asking, not being difficult. Everyone in c/labresults repeats that appeal is important. I believe it, but I have never seen anyone show why, and when I search I get 16 threads of people agreeing with each other. Is there a paper? Is there a measurement? Or is this one of those things that is true because it…

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10 comments, started 5 months ago
u/saskia_rahimi15 points·5 months ago

Which plan type? step therapy is different.

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u/sofia_ferreira9 points·5 months ago

Did you get step therapy or outright denial?

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u/kasper_cabrera6 points·4 months ago

say which country and which plan type

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u/dose_diary_danalog keeper6 points·5 months ago

This is correct. Appeal letters work.

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u/blunt_coldbox_notes11 points·5 months ago

say which country and which plan type

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u/neha_erdogan7 points·4 months ago

This is the "correlation is mechanism" thing again. You changed three variables at once.

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About c/insurancefights

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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