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what would you tell week-1 you about appeal
Something I noticed reading old threads that I have not seen said out loud. The advice on formulary 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 with…
Which state? Coverage varies.
external review is the appeal after insurance says no
external review is the appeal after insurance says no
Adding to this: external review is doing more work than the comment implies.
denial reason codes matter, ask for the actual code
Disagree but this is the good kind of wrong — it is specific enough to be checked.
Removed a chain here. The rule is one line long and it is not negotiable.