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c/insurancefights·submitted 1 year ago by u/ignacio_vanhecke

the step therapy question that gets asked weekly, answered properly

Questionbranch of 7 comments

the step therapy question that gets asked weekly, answered properly, and I am aware this is a minority view on this board. Kept a log with every date, name of department and reference number. When they claimed no record of a call, I had the reference. Missed a deadline because I counted from when I opened the…

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7 comments, started 1 year ago
u/marta_vanhecke40 points·1 year ago

Agreed. The denial letter tells you which criterion failed, and answering that specific criterion is the entire job.

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u/ignacio_vanheckeOP31 points·1 year ago

Agreed.

This is the whole method. Answer the criterion they named, not the decision in general.

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u/valeria_grimaldi9 points·1 year ago

the formulary is published, read it before you appeal

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u/step_therapy_s19 points·1 year ago

Has a peer-to-peer been offered or requested?

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u/marta_dziedzic5 points·1 year ago

Internal appeals are decided by the plan. External review is decided by an independent body and, where it applies, its determination is binding. They are separate mechanisms and the second is chronically underused.

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u/ignacio_vanheckeOP2 points·1 year ago

What is the appeal deadline on the letter?

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u/sofia_ferreira8 points·1 year ago

Asked for the policy bulletin by number and wrote the appeal against its criteria line by line. Approved on the second level after a flat first-level denial.

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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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