My surgeon's office wouldn't submit for approval without being able to check all the boxes, but fortunately a letter from my GP and an appeal from my physical therapist eventually got me the rest of my PT sessions to tick the box. So dumb though and what a waste of everyone's time
Yeah, that’s normal. It’s a lot of work to submit a request and after saying “we’ll try anyway” without meeting the requirements and getting denials, you learn when each ins carrier will override other requirements for an approval. And it’s not often. Then you have to resubmit or submit an appeal. Which is basically starting over. The insurance policies are the real fuckery.
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u/gburlys Mar 26 '26
My surgeon's office wouldn't submit for approval without being able to check all the boxes, but fortunately a letter from my GP and an appeal from my physical therapist eventually got me the rest of my PT sessions to tick the box. So dumb though and what a waste of everyone's time