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

why does nobody talk about formulary

Discussionbranch of 11 comments

why does nobody talk about formulary — that is what I am asking, and I have already read the wiki twice. External review, which is the most underused mechanism discussed on this board. Internal appeals are decided by the plan. External review sends the determination to an independent body. Where it applies its…

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11 comments, started 1 year ago
u/vikram_mbeki80 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/saskia_rahimi38 points·1 year ago

the formulary is published, read it before you appeal

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u/osman_ferrari36 points·1 year ago·edited

Internal appeals are decided by the plan.

vikram_mbeki is right that this is documentation rather than persuasion. It took me a year to accept that.

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u/slow_logbook_notes16 points·1 year ago

Which country and which plan year are we talking about?

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u/marta_marchand113 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/hplc_hobbyistruns their own column29 points·1 year ago

Kept a log with every date, name of department and reference number. When they claimed no record of a call, I had the reference.

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u/ismael_nwosu8 points·1 year ago

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.

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u/vito_beaulieu-20 points·1 year ago

deadlines run from the letter date, not from when you opened it

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u/RetaAndRegret24 points·1 year ago

Appeal deadlines run from the date on the determination letter.

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

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u/nikhil_asante34 points·1 year ago

employer plans and individual plans are different fights

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u/ines_krastev42 points·1 year ago

the denial letter names the criterion, start there

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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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