is it normal to get muscle cramps at week 94
Something I noticed reading old threads that I have not seen said out loud. The advice on step therapy 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…
step therapy documentation is the weapon, use it
step therapy documentation is the weapon, use it
Adding to this: appeal is doing more work than the comment implies.
external review is the appeal after insurance says no
copay is separate from coverage
copay is separate from coverage
Yes, exactly this, and it is the bit that took me 14 weeks to accept.
redact member ids and group numbers from every screenshot
prior auth criteria are state-specific, step therapy differs
resubmission after denial requires new documentation
formulary exclusions are negotiable sometimes