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c/insurancefights·submitted 2 years ago by u/hassan_castellanos

my ALT moved and I cannot work out whether step therapy is why

Winbranch of 5 comments

Confession thread, sort of. I went from 7.5mg to 2.4mg much faster than I should have because the scale had stalled and I got impatient. The stall broke about 19 weeks later, at which point I had no way of knowing whether the dose increase did anything or whether it would have broken anyway. So now I have early…

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5 comments, started 2 years ago
u/ahmed_abubakar320 points·2 years ago

Did you get step therapy or outright denial?

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u/ferran_batista255 points·2 years ago·edited

say which country and which plan type

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u/milos_vestergaard124 points·2 years ago

denial reason codes matter, ask for the actual code

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u/hassan_castellanosOP62 points·2 years ago

External review overturned the denial. Took 24 weeks but the process exists.

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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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