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PSA from @rahaeli.bsky.social

#HealthCare
#Medicine

To everyone in a similar scenario: the tactic my dr.'s office has taught me is to ask, in writing, for: 1) the name, board specialty, and license number of the doctor making the determination the treatment was not medically necessary. 2) copies of all amterials they relied on to make their determination; 3) proof the dr. making the determination has maintained registration in your specific state & documentation of their meeting all their continuing education requirements; 4) the aggregate rate @ which similar treatments are denied vs approved by the specific dr being used for peer review. You are not entitled by law to *all* of these things in most states, but you're entitled to some of them, & you can always ask for them. This is, she says, a wildly successful tactic, b/c if the insurance co. answers them honestly, it gives you evidence that the "drs" making these determinations are practicing medicine out of scope, w/o proper licensing & qualifications, in areas they are not competent in. Everyone knows this is true; it's not a secret. . . . It's a tactic that has worked.
#medicine #healthcare
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