I work nights. Insurance stuff is a daytime job.
My first prior auth got denied in 4 days. Missing step therapy. I sent chart notes, a weight log, and a clinic letter. Denied again. Took 6 weeks.
What helped was calling my plan and asking for their exact criteria. Got a case number. My doctor's office then sent the right codes and 12 months of visit notes. Approved in 9 days. I didn't write a sob story.
I just matched their checklist. Anyone else get a denial reversed?
What paperwork actually moved it?