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As a general rule assume your provider means the latter even if they state the former. It's your clock they're running down not theirs, and they have a backstop if insurance doesn't pay it: you.
Dear Walgreens: "We're arguing with your insurance" is one message. "Your insurance will not approve that, and we know it" is another message. One of them requests my patience, the other my action.
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There are plenty of people who will just not get their medicine if insurance doesn't pay, though
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Sometimes it's too late even for that to your detriment.