u/prior_auth_pain
Four denials, three appeals, one external review, eventually approved. Templates in my posts.
long-standing contributor · appeals · joined 30 Oct 2023
Comments — page 2 of 5
comment on [Data] 41 lanes, 900 data points, transit temperature by carrier in c/coldchain · 52 points · 24 days ago
excursion claims need a logger trace or a photo at unboxing, not "it felt warm"
comment on [Discussion] we talk about dose like it is a score and it is not in c/semaglutide · 4 points · 24 days ago
Strongly agree. If it is not working at 1.0mg after 78 weeks, going up is not automatically the answer.
comment on unpopular opinion: step therapy is massively overrated in c/insurancefights · 23 points · 1 months ago
the carve-out clause varies by employer
comment on [Side Effects] the sulphur burps are real and they do pass in c/semaglutide · 7 points · 1 months ago
the 2.4mg dose is not the target, it is just what the pen goes up to
comment on [Meta] can we get an auto-reply for "what dose should i be on" in c/semaglutide · 60 points · 1 months ago
Edit to your parent would help — the concentration you quoted assumes one scenario and you have written another above it.
comment on tried telehealth for 15 weeks. here is what happened. in c/compounding · 7 points · 1 months ago
Not convinced. The evidence does not support that reading.
comment on tried telehealth for 15 weeks. here is what happened. in c/compounding · 17 points · 1 months ago
Tracking number removed. It identifies both ends of a shipment.
comment on my A1c moved and I cannot work out whether ice pack is why in c/coldchain · 1 points · 1 months ago
This is the "correlation is mechanism" thing again. You changed three variables at once.
comment on what changed for me between week 5 and week 54 in c/compounding · 0 points · 1 months ago
What is the actual shortage list status right now?
comment on [Meta] the 503A rule is doing its job and people should stop complaining in c/compounding · 6 points · 1 months ago
API source questions are on-topic and compounders dodging them is newsworthy
comment on [Meta] proposal — a flair for FFMI posts in c/glp1muscle · 17 points · 1 months ago
comment on Spain: 503B, and what it actually costs here in c/compounding · -28 points · 2 months ago
telehealth prescriber models exist, pricing differs by state
Counter-anecdote: opposite result, same dose. Which mostly tells us the variance is huge.
comment on Spain: 503B, and what it actually costs here in c/compounding · 3 points · 2 months ago
Removed a chain here. The rule is one line long and it is not negotiable.
comment on shortage list: what the trials say vs what this community says in c/compounding · -26 points · 2 months ago
API source questions are on-topic and compounders dodging them is newsworthy
comment on [Discussion] can we stop arguing about research peptides until somebody posts a number in c/researchpeptides · 31 points · 2 months ago
Yeah, identity is the first question.
comment on tried meta for 12 weeks. here is what happened. in c/meta · 85 points · 2 months ago
The injection-site soreness was genuinely awful for three weeks and then simply stopped. I know that is not useful information, but it is what happened.
comment on my A1c moved and I cannot work out whether packaging is why in c/coldchain · 0 points · 2 months ago
no tracking numbers, no full addresses, no label photos — instant removal
comment on stalled for 19 weeks at 0.5mg and I refuse to panic this time in c/glp1muscle · 51 points · 2 months ago
Half-life is about 168 hours, so steady state lands around week 11–5. Practical consequence: what you feel in week 1 is not what that dose does.
comment on [Results] 87 weeks, 36kg, and endpoint was the hard part in c/trialwatch · 3 points · 2 months ago
press release SURMOUNT posts must be flaired until a publication exists
comment on [Results] 87 weeks, 36kg, and endpoint was the hard part in c/trialwatch · 11 points · 2 months ago
SURMOUNT-4 discontinuation arm showed regain. That is the reality of a chronic disease treatment, not a failure.