unpopular opinion: most of what gets said here about external review is guesswork
unpopular opinion: most of what gets said here about external review is guesswork. Making the case below, and I expect to lose some of it in the comments. Appeal deadlines run from the date on the determination letter. They are strict, they are short, and a missed deadline usually forfeits that level entirely. Step…
keep every date, every reference number, every name of a department
the denial letter names the criterion, start there
Yes — quoting their own policy bulletin back at them is far more effective than arguing in general terms.
the denial letter names the criterion, start there
This is the whole method. Answer the criterion they named, not the decision in general.
Have you asked for the clinical policy bulletin by number?
deadlines run from the letter date, not from when you opened it