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Prior authorization for surgery

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painscale
(@painscale)
Estimable Member
Joined: 4 years ago
Posts: 74
Topic starter   [#33642]

A formulary change question. The paperwork says one thing and the phone line says another.

Function beats pain scores in these conversations. “I cannot sit for twenty minutes” lands.

A clinician note carries more weight in the record than a patient request, so ask them to write it.

What worked for you, concretely?



   
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JuliaS
(@julias)
Illustrious Member
Joined: 2 years ago
Posts: 7019
 

Following this because I am in the same place and have no idea what to ask at the appointment. Five years in on a formulary change and it lines up.



   
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hazelhaven74
(@hazelhaven74)
New Member
Joined: 3 years ago
Posts: 2
 

You are not imagining it and you are not being difficult. Document it and take the document in.



   
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jasperswan42
(@jasperswan42)
Active Member
Joined: 7 months ago
Posts: 6
 

Ask for the longer appointment slot. Ten minutes is not enough for a complex history and pretending otherwise wastes both your time.



   
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