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c/insurancefights·posted 26 days ago by u/ignacio_vanhecke

someone explain denial to me like I have not read a paper in years

Denied Cold Box ×9 Long Haul ×1

Genuinely asking, not being difficult.

Everyone in c/glp1muscle repeats that denial is important. I believe it, but I have never seen anyone show why, and when I search I get 22 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.

1,247 up / 107 down92% upvoted8 commentsid c8hr9u3 Jul 2026

8 comments

5 in this archive, depth 2sorted by:

best — the order this archive was captured in

u/elin_varga148 points·25 days ago

reading this at 2am on my 56th week. thank you.

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u/neha_rahimi85 points·25 days ago

Which state? Coverage varies.

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u/appeal_letter_al126 points·25 days ago

prior auth criteria are state-specific, step therapy differs

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u/ireland_drugs_pay87 points·25 days ago·edited

the carve-out clause varies by employer

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u/curious_panel_only39 points·24 days ago

You have restated the marketing copy. What is the actual substance here.

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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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Dec 2023created

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