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Single comment threadYou are looking at one branch of the formulary thing finally clicked for me and I want to write it down — 24 comments in the full submission. View in context.
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c/insurancefights·submitted 3 months ago by u/slow_logbook_notes

the formulary thing finally clicked for me and I want to write it down

Appealbranch of 6 comments

the formulary thing finally clicked for me and I want to write it down, which sounds obvious until you try to state the evidence for it. A denial letter is required to state a reason and to reference the criterion applied. That reference is the handle: request the clinical policy document by its identifier and answer…

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This branch

6 comments, started 3 months ago
u/marta_vanhecke150 points·3 months ago

Prior authorisation criteria are republished each plan year. A criterion that blocked you in one year may not exist in the next, so a denial is worth retesting after the turnover.

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u/ismael_nwosu96 points·3 months ago

Same view. The second-level appeal is where mine turned, after a first-level denial that looked final.

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u/teodor_duarte92 points·3 months ago

Kept a log with every date, name of department and reference number. When they claimed no record of a call, I had the reference.

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u/hamza_weiss62 points·3 months ago

ask for the denial reason in writing, always

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u/teodor_duarte72 points·3 months ago

the formulary is published, read it before you appeal

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u/bence_zielinski16 points·3 months ago

Cosigning on external review. It is a real mechanism, it is underused, and the deadlines are strict.

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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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