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  "documentTitle": "Soleno Therapeutics (SLNO)",
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  "notes": "The slide uses a Q&A transcript format to highlight the physician's frustration and lack of guidance from the manufacturer.",
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      "text": "We're waiting until we have a little more information about how to be successful with the appeals. Or get a little more guidance about how to be successful from the manufacturer.",
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      "text": "...but only 3 insurance approvals out of 15 forms submitted; 6 patients denied outright; 4 patients in black hole where insurer won't act, so essentially denied for now; not appealing the denials at present",
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      "text": "denial to approval ratio: 3:1",
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      "text": "Q: “How many forms have you submitted for insurance authorization? How many have you submitted already in the last month?”\nA: “I would say about 15.”\nQ: “And how many of those have gotten approved or denied?”\nA: “Several have denied it. If I was to say 15, three approved it, I would probably say six denied it. And four have said premature to approve or deny.”\nQ: “It sounds like a 2:1 denial-approval ratio right now.”\nA: “Mm-hmm.”\nQ: “And for the six denials, are you going to appeal it, write letters and peer reviews? Or are you just going to let it go for now?”\nA: “We're waiting until we have a little more information about how to be successful with the appeals. Or get a little more guidance about how to be successful from the manufacturer.” - Pediatric endocrinologist, leads one of the largest PWS clinics in US with 30-40 patients; 11 endocrinologists, major academic center",
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      "text": "The endocrinologist stated of the 15 Vykat start forms he’s submitted, that only 3 have been approved with 6 outright denials and 4 with a soft denial, for a roughly 3:1 denial to approval ratio; and that he is in wait-and-see mode and hasn’t appealed the denials: “several have denied it...if I was to say 15, three approved it, I would probably say six denied it...and four have said premature to approve or deny...we're waiting until we have a little more information about how to be successful with the appeals...or get a little more guidance about how to be successful from the manufacturer.”",
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      "text": "Several have denied it. If I was to say 15, three approved it, I would probably say six denied it. And four have said premature to approve or deny. — Pediatric endocrinologist, leads one of the largest PWS clinics in US with 30-40 patients; 11 endocrinologists, major academic center",
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      "text": "Source: Scorpion Capital consultation calls with experts",
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