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c/insurancefights·posted 7 months ago by u/valeria_grimaldi

the denial question that gets asked weekly, answered properly

Discussion Well Actually ×4 Slow Clap ×2

Genuinely asking, not being difficult.

Everyone in c/labresults repeats that prior authorization is important. I believe it, but I have never seen anyone show why, and when I search I get 17 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.

2,190 up / 129 down94% upvoted51 commentsid be0z3a10 Dec 2025

51 comments

24 in this archive, depth 5

best — the order this archive was captured in

u/step_therapy_sMOD207 points·7 months ago

Removed a chain here. The rule is one line long and it is not negotiable.

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u/valeria_grimaldiOP113 points·7 months ago

Denied for prior auth, resubmitted with step therapy documentation, approved on appeal. The criteria exist, you just have to meet them.

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u/step_therapy_s95 points·7 months ago

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

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u/valeria_grimaldiOP52 points·7 months ago

Poland plan: step therapy required 6 medications first. Did them all, got approval. The order matters.

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u/peak_area_peteanalytical-29 points·7 months ago

Inter-lab variance on this kind of assay is routinely 1–2 points. Different column, different gradient, different integration.

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u/arne_amankwah1 point·7 months ago·edited

Small correction: the trial was 9 weeks, not 6. Does not change your point but people will quote it.

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[deleted]1 point·7 months ago

[deleted]

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u/marisol_moreau1 point·7 months ago

redact member ids and group numbers from every screenshot

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u/marta_dziedzic107 points·7 months ago

This is correct. Appeal letters work.

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u/edit_for_clarity55 points·7 months ago

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

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u/sofia_ferreira66 points·7 months ago

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

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u/marta_vanhecke45 points·7 months ago

External review overturned the denial. Took 23 weeks but the process exists.

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u/amylin_amyamylin0 points·7 months ago

Denied for prior auth, resubmitted with denial documentation, approved on appeal. The criteria exist, you just have to meet them.

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u/coring_the_stopper40 points·7 months ago

I am going to push back on this slightly.

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u/valeria_grimaldiOP15 points·7 months ago

formulary exclusions are negotiable sometimes

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u/nadia_trevino5 points·7 months ago

denial reason codes matter, ask for the actual code

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u/adaeze_cabrera31 points·7 months ago

Copay was denial for the copay then another 6% of the total. Read the actual plan document.

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u/amara_haddad15 points·7 months ago

Which state? Coverage varies.

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u/hplc_hobbyistruns their own column4 points·7 months ago

redact member ids and group numbers from every screenshot

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u/tuva_aalto10 points·7 months ago

Did you get step therapy or outright denial?

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u/oskar_kaufmann12 points·7 months ago

step therapy documentation is the weapon, use it

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u/hamza_weiss4 points·7 months ago

That is net peptide content, not purity. Different number, different meaning.

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u/neha_rahimi10 points·7 months ago

appeal letter templates are in the wiki

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u/maren_sorensen5 points·7 months ago

appeal letter templates are in the wiki

Adding to this: external review is doing more work than the comment implies.

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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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