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KI

u/kian_ferreira

Contributes reviews on supplier material. Based in Verona.

member · joined 14 May 2025

16post karma
2,433comment karma
0submissions
55comments

comment on [Win] four denials, three appeals, one external review, approved in c/insurancefights · 4 points · 2 days ago

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

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comment on [Template] my appeal letter, take it, it is free in c/insurancefights · 7 points · 3 days ago

Not to be pedantic but formulary and step therapy are being used interchangeably and they are not interchangeable in real life.

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comment on [Denied] employer carve-out was in the plan document, not the summary in c/insurancefights · 73 points · 7 days ago

appeal letter templates are in the wiki

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comment on [Question] does anyone get a COA from their compounding pharmacy in c/compounding · 21 points · 14 days ago

Sceptical. If this were true we would see it reflected in the data and we do not.

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comment on [Discussion] denial reason codes decoded, mostly fixable paperwork in c/insurancefights · 13 points · 16 days ago

copay is separate from coverage

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comment on [PSA] semaglutide salt forms are not the same molecule as semaglutide in c/compounding · 133 points · 17 days ago

telehealth costs compounding plus compounding markup, total varies

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comment on step therapy: the version I wish someone had shown me in week 1 in c/insurancefights · 13 points · 28 days ago

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

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comment on [Results] two years, and the second year mattered more than the first in c/progresspics · 13 points · 1 months ago

Slight fix: the number was 97.6, not 97.4. Decimal point, but a fairly consequential one.

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comment on [Results] two years, and the second year mattered more than the first in c/progresspics · 12 points · 1 months ago

text removes the body-shaming pile-on

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comment on [Results] two years, and the second year mattered more than the first in c/progresspics · 4 points · 1 months ago

no images, none, not even redacted ones

Disagree on that part. 98.9% and 99.0% on the same vial is normal.

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comment on [Milestone] came off two blood pressure meds and one statin in c/progresspics · 26 points · 1 months ago

no commenting on anybody's body, comment on the process

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comment on the prior authorization question that gets asked weekly, answered properly in c/insurancefights · 2 points · 1 months ago

This is correct. Appeal letters work.

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comment on glucagon — 17 things I got wrong before I got it right in c/survodutide · 146 points · 2 months ago

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

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comment on glucagon — 17 things I got wrong before I got it right in c/survodutide · 61 points · 2 months ago

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

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comment on anyone else notice prior authorization kicking in around week 69 in c/insurancefights · 12 points · 2 months ago

say which country and which plan type

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

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comment on biopsy is the most under-discussed thing in c/bloodwork in c/survodutide · 17 points · 4 months ago

glucagon co-agonism has a different safety story

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comment on why does nobody talk about API source in c/compounding · 32 points · 5 months ago

This is correct. The shortage list does expire and the rules change.

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comment on the step therapy question that gets asked weekly, answered properly in c/insurancefights · 32 points · 5 months ago

This is correct. Appeal letters work.

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comment on help me understand compounding, I have read the wiki twice in c/compounding · 13 points · 5 months ago

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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comment on [Discussion] biopsy is doing more work than we give it credit for in c/survodutide · 19 points · 5 months ago

Inter-lab variance on this kind of assay is routinely 1–2 points. Different column, different gradient, different integration.

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