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Check those EOBs!

13 Posts
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Alex
 Alex
(@alex)
Noble Member
Joined: 2 years ago
Posts: 1841
Topic starter   [#5108]

A prior authorisation question. The paperwork says one thing and the phone line says another.

The phone log is the part people skip. Date, time, name, what was said, reference number.

Appeals succeed far more often than first requests, because the first review is often automated.

Anyone else had this in the last year?



   
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CloverLad
(@cloverlad)
Active Member
Joined: 1 year ago
Posts: 8
 

Enteric coatings should not be crushed. The pellets are the delivery mechanism.



   
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GranReserva
(@granreserva)
Famed Member
Joined: 2 years ago
Posts: 2264
 

Sleep first. Bad night, bad day, more symptoms. Fix that before changing anything else. Currently on a prior authorisation myself.



   
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duneloft8
(@duneloft8)
Active Member
Joined: 1 year ago
Posts: 6
 

Worth repeating that this is not medical advice and the answer often depends on who you are.



   
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Selfhelp
(@selfhelp)
Famed Member
Joined: 2 years ago
Posts: 2970
 

Function over score.



   
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moorlum39
(@moorlum39)
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Joined: 3 years ago
Posts: 7
 

Bring a list. Embarrassment makes everyone forget things, including you.



   
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cragpike
(@cragpike)
New Member
Joined: 2 years ago
Posts: 2
 

Bring a list. Embarrassment makes everyone forget things, including you.



   
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isle3496
(@isle3496)
Active Member
Joined: 5 months ago
Posts: 5
 

You have two changes at once here. You cannot attribute anything until one of them moves.



   
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ash9666
(@ash9666)
Active Member
Joined: 2 years ago
Posts: 7
 

Same here.



   
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fern4241
(@fern4241)
Active Member
Joined: 8 years ago
Posts: 8
 

Same shape here, different drug. The thing that helped was documenting the refusal rather than re-arguing it. They refer rather than write.



   
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seawren
(@seawren)
Active Member
Joined: 4 years ago
Posts: 8
 

You have two changes at once here. You cannot attribute anything until one of them moves.



   
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gale132
(@gale132)
Active Member
Joined: 3 years ago
Posts: 6
 

You have two changes at once here. You cannot attribute anything until one of them moves.



   
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atlastide95
(@atlastide95)
Active Member
Joined: 3 years ago
Posts: 5
 

Sorry for the basic question, but how do you actually start one of these diaries?



   
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