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ForumsPublic SquareInsurance denied my prior auth — successful appeal letter template Page 2

Insurance denied my prior auth — successful appeal letter template

InsuranceTom Fri, Jan 23, 2026 at 11:11 AM 9 replies 565 viewsPage 2 of 2
mona_PHX
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Phoenix, AZ
Jan 23, 2026 at 2:01 PM#6

Saving this for reference. Quality thread.

10 19RetaRick_CA, JenPlateau, SallyK_inj and 7 others
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PharmD_Rodriguez
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Miami, FL
Jan 23, 2026 at 2:18 PM#7

Slightly tangential to Insurance denied my prior but stefan_berlin reminded me — has anyone else noticed changes in their alcohol tolerance?

I know it is not exactly on-topic but it seems related enough to ask here rather than starting a new thread. Apologies if this has been covered — I did search first.

37 22TinaHashiRN, robert_kc, dan_philly and 34 others
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DoseLogDan
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Feb 2025
Montana
Jan 23, 2026 at 2:35 PM#8

+1 to stefan_berlin. Especially the point about "A few questions about your Insurance den..." — I have seen the same in my own experience with Insurance denied my prior.

Last edited: Jan 23, 2026 at 3:35 PM
9 10mel_PDX, Dr.AddMedPHL, newstart_MO and 6 others
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paul_denver
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Jan 23, 2026 at 2:52 PM#9

Dr.PeteFamMed — that is really helpful context on Insurance denied my prior. Follow-up question: what labs did your doctor order to monitor this?

I am in a similar situation (just started) and trying to set realistic expectations.

Last edited: Jan 23, 2026 at 8:52 PM
44 7sarah_TO, wendy_avl, jason_paloalto and 41 others
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VendorMark
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Jan 23, 2026 at 3:09 PM#10

To answer DoseLogDan's question specifically:

From a clinical standpoint, Insurance denied my prior auth is an area where we have good evidence.

The short answer: baseline labs + quarterly monitoring is the standard of care.

The longer answer involves understanding the mechanism of action at the receptor level, which I am happy to elaborate on if helpful.

47 0claudia_zurich, nancy_portland, rick_sfbay and 44 others
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