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[@elizabeth_budde](/creator/twitter/elizabeth_budde)
"Cignas P2P appeal of a denied PET scan request for response assessment. After X rounds of transfer I was told to schedule an appt with their providers to discuss next week. The reason for denial: my DLBCL patient doesnt have extensive stage X or stage 3-4 disease"  
[X Link](https://x.com/elizabeth_budde/status/1978861749324358050) [@elizabeth_budde](/creator/x/elizabeth_budde) 2025-10-16T16:33Z XXX followers, XXX engagements


"It is ironic we try so hard to move the treatment landscape on a large scale. Yet I cant even get a PET scan approved. This is Cigna PPO. The appeal process so painful and time consuming"  
[X Link](https://x.com/elizabeth_budde/status/1978866815603294241) [@elizabeth_budde](/creator/x/elizabeth_budde) 2025-10-16T16:53Z XXX followers, XXX engagements


"My Cigna P2P PET scan appeal for a patient update: on Hold with Cigna a second day in a roll. Its advocate never called. It also canceled my scheduled appt next Monday to appeal w/o a reason. This kinda business strategy explains the substandard care that some patients receives"  
[X Link](https://x.com/elizabeth_budde/status/1979250409698136344) [@elizabeth_budde](/creator/x/elizabeth_budde) 2025-10-17T18:17Z XXX followers, XXX engagements