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c/insurancefights·posted 1 year ago by u/amira_dumitru

[Discussion] the appeal advice in here is 3 years out of date

Discussion Long Haul ×4 Sourced ×3

formulary. That is the whole post, but I will justify it.

Everything else people worry about in c/meta is downstream of it. Titration speed, muscle cramps, the endless dose arguments — most of it resolves if you sort formulary out first, and almost nobody does.

I say this having got it wrong for 3 months. My hs-CRP was the thing that eventually made me pay attention, which is a stupid way to learn a lesson that was in the sidebar the whole time.

1,740 up / 488 down78% upvoted23 commentsid 9zzt4g4 Dec 2024

23 comments

18 in this archive, depth 5

best — the order this archive was captured in

u/cardio_endpoint_c282 points·1 year ago

Disagree but this is the good kind of wrong — it is specific enough to be checked.

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u/camila_vasquez407 points·1 year ago

resubmission after denial requires new documentation

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u/step_therapy_sMOD142 points·1 year ago

Retitled to remove editorialising. Put the evidence in the body.

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u/karim_restrepo95 points·1 year ago

Not to be pedantic but copay and step therapy are being used interchangeably and they are not interchangeable in real life.

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u/solene_eriksen25 points·1 year ago

do not suggest misrepresenting a diagnosis, that is fraud

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u/amira_dumitruOP-15 points·1 year ago

Yeah, the denial code matters, it tells you what to fight.

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u/liv_kuipers126 points·1 year ago·edited

Disagree but this is the good kind of wrong — it is specific enough to be checked.

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u/runa_wikstrom38 points·1 year ago·edited

prior auth criteria are state-specific, formulary differs

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u/curious_panel_only72 points·1 year ago

Strongly agree. Step therapy is predictable if you have the criteria.

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u/coring_the_stopper30 points·1 year ago

External review overturned the denial. Took 4 weeks but the process exists.

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u/hplc_hobbyistruns their own column56 points·1 year ago·edited

This is correct. Appeal letters work.

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u/plain_titration_202413 points·1 year ago

Which plan type? external review is different.

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u/amira_dumitruOP31 points·1 year ago

Edit to your parent would help — the concentration you quoted assumes one scenario and you have written another above it.

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u/maren_ibarra27 points·1 year ago

resubmission after denial requires new documentation

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u/ireland_drugs_pay20 points·1 year ago

resubmission after denial requires new documentation

Disagree on that part. 98.7% and 98.9% on the same vial is normal.

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u/blunt_coldbox_notes22 points·1 year ago·edited

This is correct. Appeal letters work.

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u/amylin_amyamylin25 points·1 year ago

step therapy documentation is the weapon, use it

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u/idris_iyer19 points·1 year ago

Strongly agree. Step therapy is predictable if you have the criteria.

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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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