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2.7k

tried appeal for 14 weeks. here is what happened.

Question Well Actually ×3 Cold Box ×1 Sourced ×2

Genuinely asking, not being difficult.

Everyone in c/labresults repeats that external review is important. I believe it, but I have never seen anyone show why, and when I search I get 9 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 has been repeated since 2023?

I am not trying to be the "source?" guy. I would just like a source.

2,982 up / 259 down92% upvoted20 commentsid ajz0ie3 Jan 2025

20 comments

3 in this archive, depth 2

best — the order this archive was captured in

u/step_therapy_s456 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/valeria_grimaldi254 points·1 year ago

Which state? Coverage varies.

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u/ignacio_vanheckeOP100 points·1 year ago

Sceptical. If this were true we would see it reflected in the data and we do not.

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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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