u/prior_auth_pain

US, employer plan, eleven months start to finish. The thing that finally worked was embarrassingly simple. Denials one through three were all "not medically necessary"…

Thinking out loud about this: stayed at 0.5 for eleven weeks and it was the right call. STEP-1 ran 68 weeks and landed just under 15% mean body weight change on 2.4mg.…

sarcopenia is doing more work than we give it credit for, which sounds obvious until you try to state the evidence for it. Started weighing protein rather than…

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…

Posting this as a discussion rather than a claim: unpopular opinion: most of what gets said here about telehealth is guesswork. Why "compounded" is not "generic",…

The title is the whole question — does data logger actually matter or is it forum lore at this point — but here is why I am asking. Asked KP which lines they hold…

three years of copay threads, summarised so you do not have to read them. I have gone back and forth on this for months. Internal appeals are decided by the plan.…

proposal — a flair for appeal posts. This affects how posts get sorted and removed, so it belongs in the open. Asked for the policy bulletin by number and wrote the…

Genuine question, and the title is the question: how much of what we believe about rules actually comes from wiki threads. Had a post removed, went to modmail, got a…