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The Slow Lane • Broken brain • Accidental Advocate • Invisible Disability • Life with service dog, Jon Snow\ud83d\udc15‍\ud83e\uddba

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Issues23Foundeda year agoLast Issue11 days ago
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Latest Issues

The Denial Didn’t Disappear - It Just Moved

There’s an incredible sense of relief when a patient hears those words: “No prior authorization is required.” It feels like a green light to move forward with medical care.

Over the past few months, I’ve received numerous requests from pat...

11 days ago
2
1

Potential Brain Surgery, Mark Cuban, and Blue Cross NC’s CEO

When I shared my recent BCBSNC Panel determination letter (below), I said “Let this be a lesson in insurance tactics,” intending to shine a bright light.

It’s sparked quite a discussion:

“I have a flashlight too, Sally Neely Nix. Rais...

a month ago
4
5

What Happens When An Insurance Company’s Own Policy Doesn’t Support Their Denial

If you're going to deny a patient’s treatment as medically unnecessary or investigational and experimental - you should be able to explain exactly why.

You should be able to identify the specific policy provision you’re relying on, and ex...

a month ago
1

When Medicine Requires Permission, Document Everything

We talk a lot about the records patients should keep when fighting health insurance companies. Save every denial letter, jot down the representative's name, and note the reference number—document the date, time, and substance of every call....

2 months ago
1

Every Denial Has a Paper Trail

When I first read ProPublica’s story about Christopher McNaughton in 2023, I was in the midst of an exhausting battle to obtain coverage for IVIG. After six months of treatment, Blue Cross Blue Shield of Illinois (part of Health Care Servic...

2 months ago
3
5

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  • Sally Neely Nix

    The Slow Lane • Broken brain • Accidental Advocate • Invisible Disability • Life with service dog, Jon Snow\ud83d\udc15‍\ud83e\uddba

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