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266
c/insurancefights·posted 1 year ago by u/osman_ferrari

step therapy is the most under-discussed thing in c/labresults

Appeal Cold Box ×1

Quick one. Canada here.

prior authorization works very differently where I live than in the threads that dominate the front page, and I keep seeing people confidently given advice that simply does not apply outside the US.

Specifics: the route I used took 15 weeks and cost roughly what I expected. The admin was worse than the cost. The thing that would have saved me the most time was knowing which document to ask for at the start.

Happy to answer questions from anyone in the same jurisdiction.

275 up / 9 down97% upvoted22 commentsid a9zetf20 Dec 2024

22 comments

19 in this archive, depth 5

best — the order this archive was captured in

u/marta_dziedzic45 points·1 year ago

say which country and which plan type

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u/ireland_drugs_pay26 points·1 year ago

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

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u/appeal_letter_alMOD15 points·1 year ago

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

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u/rekha_mbeki11 points·1 year ago

Retitled to remove editorialising.

Disagree on that part. 99.2% and 98.9% on the same vial is normal.

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u/niels_salinas6 points·1 year ago

Slight fix: the number was 98.7, not 98.3. Decimal point, but a fairly consequential one.

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u/nnt_nate8 points·1 year ago

Which plan type? denial is different.

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u/ines_krastev14 points·1 year ago
yep. 65 weeks in, same.
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u/karim_restrepo12 points·1 year ago

redact member ids and group numbers from every screenshot

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u/muscle_cramp_mo-21 points·1 year ago

external review is the appeal after insurance says no

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u/karim_restrepo10 points·1 year ago

Mechanistically the bit that matters is external review. It explains most of the early profile and a decent chunk of the outcome.

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u/amira_dumitru7 points·1 year ago

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

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[removed]7 points·1 year ago

[removed by moderator]

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u/tomas_lehtinen6 points·1 year ago

Not to be pedantic but formulary and appeal are being used interchangeably and they are not interchangeable in real life.

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u/nnt_nate5 points·1 year ago

I love that this community will spend 40 comments on a detail. That pedantry is why the numbers here matter.

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u/plain_titration3 points·1 year ago

I love that this community will spend 40 comments on a detail.

Disagree on that part. 93.7% and 99.3% on the same vial is normal.

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u/hassan_chowdhury4 points·1 year ago

formulary exclusions are negotiable sometimes

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u/elise_grimaldi3 points·1 year ago

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

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u/dose_diary_danalog keeper5 points·1 year ago

Dead space in the needle hub holds a small but non-trivial volume. On low-volume draws that can be several units.

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u/kasper_cabrera3 points·1 year ago

the carve-out clause varies by employer

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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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