u/kian_ferreira
Contributes reviews on supplier material. Based in Verona.
member · joined 14 May 2025
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.
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.
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
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.
comment on [Discussion] denial reason codes decoded, mostly fixable paperwork in c/insurancefights · 13 points · 16 days ago
copay is separate from coverage
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
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.
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.
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
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.
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
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.
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.
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.
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.
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
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.
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.
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.
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.