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denial: the version I wish someone had shown me in week 1

Appeal Long Haul ×1 Well Actually ×2 Cold Box ×2

Quick one. Canada here.

prior authorization works very differently where I live than in the threads that dominate the front page, and I keep seeing people confidently given advice that simply does not apply outside the US.

Specifics: the route I used took 17 weeks and cost roughly what I expected. The admin was worse than the cost. The thing that would have saved me the most time was knowing which document to ask for at the start.

Happy to answer questions from anyone in the same jurisdiction.

3,524 up / 336 down91% upvoted54 commentsid fl19p310 Apr 2024

54 comments

26 in this archive, depth 4

best — the order this archive was captured in

u/emeka_delgado302 points·2 years 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/tuva_aalto84 points·2 years ago

redact member ids and group numbers from every screenshot

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u/tidy_vialdrawer_watch65 points·2 years ago·edited

Which plan type? copay is different.

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u/nnt_nate225 points·2 years ago

I love that this community will spend 40 comments on a detail. That pedantry is why the numbers here matter.

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u/hplc_hobbyistruns their own column62 points·2 years ago

The confident tone is doing a lot of work that the evidence is not.

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u/tuva_kirchner51 points·2 years ago

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

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u/dose_diary_danalog keeper180 points·2 years ago

This is correct. Appeal letters work.

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u/blunt_coldbox_notes-6 points·2 years ago

Which plan type? formulary is different.

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u/kasper_cabrera104 points·2 years ago
the VendorInvestigate number or it did not happen
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u/prior_auth_painMOD52 points·2 years ago

This is an urgent-care question wearing a forum question's clothes. Please contact a clinician rather than waiting for replies.

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u/maren_ibarra35 points·2 years ago

Small correction: the trial was 11 weeks, not 24. Does not change your point but people will quote it.

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u/kian_ferreira50 points·2 years ago

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

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u/pavel_nkemelu46 points·2 years ago

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

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u/hugo_pires38 points·2 years ago

do not suggest misrepresenting a diagnosis, that is fraud

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u/slow_logbook_notes66 points·2 years ago·edited

Dead space in the needle hub holds a small but non-trivial volume. On low-volume draws that can be several units.

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u/tuva_aalto20 points·2 years ago·edited

formulary exclusions are negotiable sometimes

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u/honest_syringe1910 points·2 years ago

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

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u/fabio_kuipers52 points·2 years ago

resubmission after denial requires new documentation

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[removed]37 points·2 years ago

[removed by moderator]

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u/osman_ferrari39 points·2 years ago

the carve-out clause varies by employer

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u/idris_iyer26 points·2 years ago

This is correct. Appeal letters work.

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u/osman_ferrari19 points·2 years ago

do not suggest misrepresenting a diagnosis, that is fraud

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u/milos_vestergaardOP7 points·2 years ago

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

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u/saskia_rahimi8 points·2 years ago·edited

external review is the appeal after insurance says no

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u/saskia_rahimi27 points·2 years ago

This is correct. Appeal letters work.

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u/adaeze_weiss7 points·2 years ago

Edit to your parent would help — the concentration you quoted assumes one scenario and you have written another above it.

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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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