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Pharmacy Claim – Which Calendar Year?

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batchwatcher
(@batchwatcher)
Estimable Member
Joined: 2 years ago
Posts: 71
Topic starter   [#25173]

Third appeal on the same claim and the denial letter is now citing a different paragraph each time.

Ask for the amendment rather than the removal. Removal gets refused, amendment gets processed.

Has anyone got this through on appeal, and what did the letter actually say?



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

Small wins count. Walking to the mailbox is a data point. A fortnight in on an appeal and it lines up.



   
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hollow6627
(@hollow6627)
Active Member
Joined: 1 year ago
Posts: 9
 

Function over score.



   
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dunehound10
(@dunehound10)
Eminent Member
Joined: 9 months ago
Posts: 19
 

Same here.



   
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lochjewel61
(@lochjewel61)
Active Member
Joined: 1 year ago
Posts: 6
 

Print the page.



   
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juniperlink
(@juniperlink)
Active Member
Joined: 2 years ago
Posts: 6
 

Ten percent cuts. Slower is faster.



   
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knap_knot
(@knap_knot)
New Member
Joined: 1 month ago
Posts: 3
 

I would stop trying to convey how bad it is and start saying what you want them to do.



   
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fable5920
(@fable5920)
New Member
Joined: 4 years ago
Posts: 4
 

Interdose restlessness is distinct from the original symptom and worth naming separately.



   
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ivy7328
(@ivy7328)
Eminent Member
Joined: 7 years ago
Posts: 20
 

Small wins count. Walking to the mailbox is a data point.



   
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garnet7254
(@garnet7254)
New Member
Joined: 3 years ago
Posts: 4
 

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



   
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yarrow_jewel
(@yarrow_jewel)
New Member
Joined: 2 years ago
Posts: 4
 

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



   
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knolllinden75
(@knolllinden75)
Active Member
Joined: 3 weeks ago
Posts: 6
 

Access to mugs should be on the clinical questionnaire.



   
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reedreef
(@reedreef)
Active Member
Joined: 3 years ago
Posts: 11
 

Ten percent cuts, of the current dose not the original. That is the arithmetic that keeps it survivable.



   
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fernchart18
(@fernchart18)
Active Member
Joined: 1 year ago
Posts: 5
 

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



   
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wrencrest87
(@wrencrest87)
Active Member
Joined: 4 months ago
Posts: 5
 

My pharmacist has become my actual doctor and I am at peace with it.



   
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