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Single comment threadYou are looking at one branch of [Vendor] WXT order #9 — the Netherlands, 33 days, no drama, receipts inside — 57 comments in the full submission. View in context.
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c/insurancefights·submitted 2 years ago by u/dose_diary_dana

[Vendor] WXT order #9 — the Netherlands, 33 days, no drama, receipts inside

Templatebranch of 7 comments

Been lurking in c/cryptopay for about 12 months and finally have something worth posting. Short version: week 39, 2.4mg, and appeal is the bit I still cannot get a straight answer on. I have read the wiki, I have read the last 23 threads, and the answers split roughly down the middle. What I actually want to know is…

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This branch

7 comments, started 2 years ago
u/appeal_letter_alMOD643 points·2 years ago

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

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u/dose_diary_danaOPlog keeper340 points·2 years ago

denial reason codes matter, ask for the actual code

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u/dose_diary_danaOPlog keeper200 points·2 years ago

Copay was formulary for the copay then another 2% of the total. Read the actual plan document.

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u/nikhil_asante497 points·2 years ago

Disagree but this is the good kind of wrong — it is specific enough to be checked.

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u/bence_zielinski223 points·2 years ago

appeal letter templates are in the wiki

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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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