A peer support community, independent and not for sale. Since February 2024.

GLP CircleA peer support community

Money and access

Insurance appeals

A refusal letter is a first draft, not a verdict.

Most people lose to an administrative process because nobody told them there was a process. This circle is unromantic and extremely practical: what the refusal actually said versus what it appeared to say, which criterion you are being measured against, what evidence answers that criterion, and how to write four paragraphs a reviewer can act on.

We keep a running count of appeals members have won. It is one of the better pages on this site.

Who this circle is for

  • You have had a refusal and do not know where to start
  • You are preparing an appeal or an external review
  • You have won one and can describe exactly how

Agreements here

  • We help with process and wording, never with misrepresenting anything
  • No naming individual staff at any insurer or practice

On top of the sitewide agreements.

  • Employer plan exclusions and how I read mine

    Mo19 May 202614 replies

    A question rather than an update: Employer plan exclusions and how I read mine Money post. No apologies, this circle is for it. I have written down what has actually happened, in order,…

  • External review — how it works and what it needed

    Brim26 Apr 202617 replies

    Starting a thread on this because it keeps coming up in ones and twos: External review — how it works and what it needed This is the boring administrative kind of problem, which I gather…

  • Refused again, and where I went next

    Grover12 Apr 202616 replies

    Starting a thread on this because it keeps coming up in ones and twos: Refused again, and where I went next I have a letter in front of me and I do not know what it actually says. I have…

  • My prior authorisation checklist

    Fitz27 Mar 202617 replies

    My prior authorisation checklist — putting it in its own thread so it does not get lost in the check-in. Money post. No apologies, this circle is for it. I have written down what has…

  • What my HR benefits team could actually do

    Col22 Nov 202513 replies

    Something I have been sitting with: What my HR benefits team could actually do Not looking for advice so much as other people's experience. I have a letter in front of me and I do not know…

  • Denied for the wrong diagnosis code

    Mo13 Oct 202517 replies

    Denied for the wrong diagnosis code — putting it in its own thread so it does not get lost in the check-in. This is the boring administrative kind of problem, which I gather is the kind…

  • Second-level appeal, granted, eleven weeks

    Tarn13 Jul 202521 replies

    Starting a thread on this because it keeps coming up in ones and twos: Second-level appeal, granted, eleven weeks This is the boring administrative kind of problem, which I gather is the…

  • A win after two years of trying

    Tarn30 May 202518 replies

    A win after two years of trying — putting it in its own thread so it does not get lost in the check-in. I have a letter in front of me and I do not know what it actually says. What I keep…

  • Getting my clinician to write the letter that mattered

    Ida9 May 202519 replies

    Something I have been sitting with: Getting my clinician to write the letter that mattered Not looking for advice so much as other people's experience. This is the boring administrative…

  • A flowchart I made for my own appeal, shared

    Ray9 May 202524 replies

    A question rather than an update: A flowchart I made for my own appeal, shared This is the boring administrative kind of problem, which I gather is the kind that actually gets solved. I…

  • The refusal letter was a template and I answered it like one

    Brim5 May 202520 replies

    The refusal letter was a template and I answered it like one Writing it down partly to work out what I actually think. This is the boring administrative kind of problem, which I gather is…

  • The four paragraphs that worked

    Tarn18 Mar 202521 replies

    The four paragraphs that worked — putting it in its own thread so it does not get lost in the check-in. Money post. No apologies, this circle is for it. The thing that has surprised me…

  • Appealing on cardiovascular indication instead

    Ray25 Dec 202420 replies

    Appealing on cardiovascular indication instead — putting it in its own thread so it does not get lost in the check-in. Money post. No apologies, this circle is for it. What I keep tripping…

  • Which criterion was I actually being measured against

    Zeb11 Dec 202424 replies

    Which criterion was I actually being measured against Writing it down partly to work out what I actually think. I have a letter in front of me and I do not know what it actually says. I…