06/23/2026
Ever stare at a denial notice and think, “What are they actually missing?” 🧾
In this behind-the-scenes video, I’m showing how I review a pre-authorization or denial notice through the lens of a former utilization review nurse.
I’ll walk you through the exact detail I look for first, how I spot what may be weakening the request, and why that one missing piece can be the difference between a denial and a stronger appeal.
Because sometimes the answer is buried in insurer language that feels like it was written to win hide-and-seek. 🙃
Need help figuring out your next step? Reach out for personalized advocacy support.
If you’re appealing GLP-1 coverage, the GLP-1 Medical Necessity Appeal Letter toolkit gives you a step-by-step way to organize your appeal.