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Single comment threadYou are looking at one branch of my ALT moved and I cannot work out whether step therapy is why — 45 comments in the full submission. View in context.
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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 7 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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7 comments, started 2 years ago
u/oskar_kaufmann-28 points·2 years ago

Every time this gets posted it hits the front page and every time someone has to re-explain it.

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u/sock_puppet_spotter1 point·2 years ago

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

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u/oskar_kaufmann1 point·2 years ago

Which state? Coverage varies.

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u/tuva_aalto1 point·2 years ago

redact member ids and group numbers from every screenshot

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u/hplc_hobbyistruns their own column1 point·2 years ago

Which state?

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

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u/sanne_novak1 point·2 years ago

formulary exclusions are negotiable sometimes

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u/line_petrov1 point·2 years ago

Which state? Coverage varies.

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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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