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

[Discussion] denial is doing more work than we give it credit for

Discussionbranch of 9 comments

Something I keep coming back to: denial is doing more work than we give it credit for. Documented eighteen months of what had been tried in a one-page table. That table was the appeal. External review, which is the most underused mechanism discussed on this board. Internal appeals are decided by the plan. External…

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9 comments, started 12 months ago
u/ferran_batista67 points·12 months ago

keep every date, every reference number, every name of a department

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u/dose_diary_danalog keeper19 points·12 months ago

Yes. Written, always, even when they tell you a phone call is sufficient.

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u/plain_titrationOP10 points·12 months ago

What is the appeal deadline on the letter?

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u/prior_auth_painappeals14 points·12 months ago

Has a peer-to-peer been offered or requested?

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u/appeal_letter_al4 points·12 months ago

the denial letter names the criterion, start there

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u/prior_auth_painappeals3 points·12 months ago

Careful — the deadline runs from the date on the letter. Waiting for a call back can cost you the appeal entirely.

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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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