I fought UHC and won, but not on this issue (yet?). I’m actually not 100% sure, though, what the deciding factor in the win was – I’d gotten both my boss and his plan administrator involved in the battle. I spoke with a sales manager at UHC as well. That last told me that he could not do anything about denials, but requested that I ask my doctor to resubmit everything one more time to see what happens, and to let him know. When my doctor finally did send all the scripts again, somehow all my requests were approved – WITHIN ONE HOUR… Something must have played out behind the scenes, but I’m apparently not supposed to know what…
Thas, as someone who has to submit Prior Authorizations far too often (anything over zero times IMO is “too often”), I have come to the scientific conclusion that whether a PA is approved or not depends on whether the person making the decision has “had their needs met” within the prior 24 hours…
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That is funny!
I couldn’t find the emoji for laughing so hard I snorted out loud!
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