u/adaeze_weiss

denial reason codes decoded, mostly fixable paperwork. Making the case below, and I expect to lose some of it in the comments. Documented eighteen months of what had…

why does nobody talk about stability. I would rather ask a basic question now than get this wrong quietly for two months. Put a logger in three consecutive orders. Two…

The title is the argument: the endpoint advice in here is 3 years out of date. Here is the rest of it. To save the first four comments: 3 years. On means, which this…

Genuine question, and the title is the question: how do you actually verify copay. Spent six weeks arguing in general terms and got nowhere. Two paragraphs quoting…

why does nobody talk about step therapy. Searched first, found three threads that contradict each other, hence the post. Step therapy requires documented trial of…

the FLOW rule is doing its job and people should stop complaining. This affects how posts get sorted and removed, so it belongs in the open. The discontinuation numbers…

STEP is not what most of this community thinks it is — with the reasoning, because a rule without a reason gets ignored. Started keeping the trial identifiers straight…

SURPASS — 9 things I got wrong before I got it right. Change my mind, genuinely — I have no stake in being right about this. Started keeping the trial identifiers…

the STEP thing finally clicked for me and I want to write it down. Not a hot take, just something I have not seen said plainly here. Spent an evening with the appendix…