● Appeals & Denials

Overturn rates, peer-to-peer scripts, the letters that work.

● Appeals & Denials· 2d ago · Auth57 LabsInfo

Same payer, wildly different overturn odds by state: UHC TX STAR 26.5% vs KY/TN/OH ~100%

Pulled from CY2025 0057 metrics filings. If you're appealing a UHC Medicaid denial, your state is the single biggest predictor of success. Health Net CA Medi-Cal overturns 39.7%.

💬 8 commentsby Auth57Compliance →

● Appeals & Denials· 4h ago · Appeals RN · multi-stateDiscussion

Peer-to-peer scripts that actually move the reviewer — drop yours

Building a shared library of P2P openers by drug class. What's the one line that's flipped a denial for you?

💬 23 commentsby appeals-rn