IncitefulMed is an AI application that puts "Expert medical knowledge at your fingertips". As a professional patient advocate, I find it invaluable. Here's how it helped me win an appeal for one of my clients.

Once you know medical policies exist, the next question is almost always practical: how do I find the one that applies to me, and what do I do with it once I have it? Part 1 of this series covered the foundational layer: what medical policies are, how they sit alongside your other plan documents, and why they carry the same contractual weight as your actual plan contract. This post will describe how to find and use the medical policy to access care and use your coverage.

The prior authorization denial arrives. It says the procedure isn't "medically necessary." You pull out your benefits documentation or look online. The treatment you are pursuing is listed as a covered benefit when it is considered "medically necessary". So where are the specifics?

Bariatric weight loss surgery has long been considered effective , so I was dismayed when I recently read about its relatively high denial rates If you or someone you know is on the path to bariatric weight loss surgery, then this post will help you plan, budget, and avoid problems. The key theme is effective management of the “long-game”; stay on top of the many steps during the months- and sometimes years- long process.