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still_one

(97,274 posts)
3. Finish the treatment regardless, and appeal. You will need you physicians office to be
Sun Nov 17, 2019, 06:36 AM
Nov 2019

to be part of that appeal to state why this is necessary and required.

All the best, and take care

It isn't just the private insurance companies through one's employer that does this, Medicare does this also

Some of the problems I think are the bureaucratic paper pushers who go through a process without looking at the details involved, along with the insurance companies accountants hoping the patients won't bother to appeal.

I am taking a drug for occular inflammation, and every year I need to file an appeal to get approved in spite of the fact that it was appealed and approved the previous the previous year.

Unfortunately I think this is only going to get worse with such things like this coming down the road:


https://www.medscape.com/viewarticle/914238







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