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

how much of what we believe about appeal actually comes from step therapy threads

Discussionbranch of 7 comments

how much of what we believe about appeal actually comes from step therapy threads. Searched first, found three threads that contradict each other, hence the post. 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…

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7 comments, started 1 year ago
u/hplc_hobbyistruns their own column101 points·1 year ago

prior authorisation criteria change every plan year

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u/plain_titration_2024147 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_vanhecke86 points·1 year ago·edited

Internal appeals are decided by the plan.

Disagreeing with this line: the deadline runs from the letter date and treating it otherwise is expensive.

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u/tuva_kirchner48 points·1 year ago

ask for the denial reason in writing, always

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u/vito_beaulieu31 points·1 year ago

Small fix — external review is independent of the plan. The second-level internal appeal is not.

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u/arne_amankwah25 points·1 year ago

That advice is jurisdiction-specific and this board spans several. Say where you are.

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u/RetaAndRegret240 points·1 year ago

Have you asked for the clinical policy bulletin by number?

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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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