[Meta] proposal — a flair for formulary posts
I have had 2 orders now and I keep a table, so here is the honest summary rather than a vibe. Material has been consistent. Communication has not. Shipping has varied by about 20 days on nominally the same lane, which matters more in summer than in February. The independent number came back 96.8% against a claimed…
step therapy documentation is the weapon, use it
I am going to push back on this slightly.
step therapy documentation is the weapon, use it
do not suggest misrepresenting a diagnosis, that is fraud
Yeah, the denial code matters, it tells you what to fight.
the carve-out clause varies by employer
resubmission after denial requires new documentation
Yeah, the denial code matters, it tells you what to fight.
denial reason codes matter, ask for the actual code