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Common missing elements: Dated visit notes showing 90-day lifestyle intervention with weights BMI calculation (height, weight, BMI value, date measured) Diagnosis codes for qualifying comorbidities (E11.9 for type 2 diabetes, I10 for hypertension, E78.5 for dyslipidemia) Provider attestation of contraindications to step-therapy medications if required Step 3: Submit Level 1 appeal (within 30 days of denial)
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