Sally Nix
Sally Neely NixThe Slow Lane • Broken brain • Accidental Advocate • Invisible Disability • Life with service dog, Jon Snow\ud83d\udc15\ud83e\uddba
| Platform |  | Pricing | Only free issues | Publishes | Weekly |
|---|---|---|---|---|---|
| Issues | 21 | Founded | a year ago | Last Issue | 10 days ago |
| Active | |||||
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sallynix.substack.comLatest Issues
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...
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....
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...
You Can’t Conduct a Fair Medical Review If You’re Reviewing the Wrong Medicine
UPDATE 7/30: A significant development because it goes to the integrity of the appeal process itself. Blue Cross NC issued its appeal determination before reviewing my treating physician’s documentation supporting the medical necessity of m...
Healthcare Affordability Needs More Than Experts. It Needs Patients.
Last week, I wrote to Governor Josh Stein after reviewing the membership of North Carolina’s newly established Health Care Affordability Commission.
The commission brings together an impressive group of healthcare leaders. Hospital systems...
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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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