Troubleshooting Prescription/Doctor Note Requests

This document has been created to help provide troubleshooting ideas for when an administrator requests a prescription.

In some cases, the letter of medical necessity can include too broad of information or does not clearly show three key points. In this case, start by assessing the LMN to see if it is in need of updates

Keys to Look For

• Treatment is specific to a product/service

• Dosage is listed

• Provider signature is clearly visible on the document

• Administrator specific LMN includes Truemed Default Template with it

In this example, the letter of medical necessity lists a wide range of products and services instead of just focusing on the product or service that was purchased. This can cause the administrator to be unclear what to focus on and result in a quick denial.

Action Step

• Send a request to the provider team to make the letter of medical necessity more specific for the products/services the customer purchased.

  • Include the name of the product in your request to make it a seamless process for the provider team to update.

• Combine administrator LMN template with Truemed Default Template

  • If the original document only included the administrator specific LMN template, combine this with the Truemed Default Template for a stronger presentation.

In this case, the dosage may be a bit too vague for the administrator to approve.

Action Step

• Send a request to the provider team to provide a more specific dosage for the product/service purchased.

The final area to check is that the provider signature is present and also not on a completely separate page of the document. In some cases, a provider signature on its own page can get missed by the administrator.

Action Step

• Re-size PDF to have provider signature on the same page as other information.

• Utilize the Truemed Default Template if a provider signature is not present and merge with the administrator specific template.

When providing the updated letter of medical necessity to the customer, include information on why NPs are allowed to sign the letter of medical necessity. These talking points can be utilized by the customer to help strengthen points where an administrator says a MD is required .

Email Template

• LMN: Nurse Practitioner (NP) vs Doctor/Physician (MD)

If we complete these attempts and a doctor’s signature is still requested, reissue the LMN requesting an MD signature.