My insurance FINALLY approved it - here is exactly what I did — what worked for you?

UPDATE: you were RIGHT. I called Cigna and had them read back the PA details. My height was entered as 5'4" instead of 5'10". With the wrong height my BMI calculated as 28 instead of 36. My doctor's office resubmitted with correct measurements and it was approved in 48 hours. I cannot believe a typo cost me three months of denials and appeals. I'm furious but also relieved.

YES! So glad you caught that. A 6-inch height error is wild but honestly not surprising — data entry mistakes are one of the most common reasons for PA denials and nobody thinks to check. For everyone else, here's my PA preparation checklist: - ✓ Get your plan's specific coverage criteria document - ✓ Verify all demographic/biometric data is correct in your chart - ✓ Document 6+ months of lifestyle modification attempts - ✓ Have relevant labs drawn within 90 days - ✓ List all relevant diagnosis codes - ✓ Use the insurer's specific PA form - ✓ Submit electronically, early in the week - ✓ Attach all supporting documentation upfront Do all of this and your chances go up dramatically.

Saving this entire thread. Starting the PA process with Express Scripts next week for Mounjaro. My doctor already has my 8 months of Noom records and dietitian visits documented. Going to call Express Scripts tomorrow to get the coverage criteria document. Feeling way more confident now.