Neals Maxilin

Founder and CEO, KAIS by Apex Flow: payer criteria beside the clinician's own evidence, before the request goes out. 12 years in revenue cycle.

[Neals Maxilin @nealsmax]

The public filings show it plainly. An insurer that owns the doctors denies less where it owns them, pays its own practices up to 61% more, and reverses most of the denials patients manage to fight. The system was made to favor their kin.

#PriorAuthorization #MedicareAdvantage #UnitedHealthcare #Optum #Healthcare #HealthInsurance #Medicare #HealthPolicy

[Neals Maxilin @nealsmax]

@LauraHartleyCO With costs climbing, compare each plan's drug list during open enrollment, since a med's tier can matter more than the premium. KAIS by Apex Flow, FREE Beta demo with Walgreens one-tap refill or transfer in early access, not medical advice. #OpenEnrollment #Free

[Neals Maxilin @nealsmax]

@michelleegordon Such a common question. One more for patients: check whether your GLP-1 needs prior auth on your plan before each refill, since renewals can need fresh paperwork. KAIS by Apex Flow, FREE Beta demo, 12 languages, not medical advice. #GLP1 #Free

[Neals Maxilin @nealsmax]

@urlittleangell Before the consult, look up Wegovy and Zepbound on your plan's drug list and note any prior auth or step therapy flags so you know what to ask. KAIS by Apex Flow, FREE early access demo, not medical advice: https://t.co/gEeiyDmxAQ #GLP1 #Ozempic

[Neals Maxilin @nealsmax]

@Hatsune_Natalya That's so frustrating. Tip: ask the office to send the prior auth now, get the plan's reference number, and check your drug list for an alternative while you wait. KAIS by Apex Flow, FREE Beta demo, no account, 12 languages, not medical advice. #PriorAuthorization #Free

[Neals Maxilin @nealsmax]

@C2Neos So true. If you're the patient waiting, ask the office for the date the prior auth was faxed and the plan's reference number, then call to confirm it arrived. KAIS by Apex Flow, FREE Beta demo, no account, 12 languages, not medical advice. #PriorAuthorization #Free

[Neals Maxilin @nealsmax]

@temalone The estimator has no clue. Tip: check each med's tier on every plan's drug list, since that's where the yearly cost hides. KAIS by Apex Flow, FREE demo with Walgreens one-tap refill or transfer in early access, not medical advice: https://t.co/gEeiyDn5qo #Free #OpenEnrollment

[Neals Maxilin @nealsmax]

@AccessHealthCT Helpful tool. One more step: after filtering, open the drug list for your top plan and check each med for PA or step therapy notes, not just whether it's listed. KAIS by Apex Flow, FREE early access demo, 12 languages, not medical advice. #OpenEnrollment #PriorAuthorization

[Neals Maxilin @nealsmax]

@NYCHealthCommr Great program. Tip for anyone the team helps enroll: bring a list of each regular medicine by exact name and dose to check against each plan's drug list. KAIS by Apex Flow, FREE Beta demo, no account, 12 languages, not medical advice. #Free #OpenEnrollment

[Neals Maxilin @nealsmax]

@TURBOPOSSUM "IT'S MY NOSE" is the most relatable sentence on this app today 😂 That doctor-to-plan request is a group chat you weren't added to. The free KAIS app shows what your plan's rules ask for, in plain English: https://t.co/gEeiyDmxAQ #Free #PriorAuth

[Neals Maxilin @nealsmax]

@AwakenWithJP @crowdhealth You skipped step 0, JP: read a 90-page plan PDF just to learn what they want 😅 Our free app reads your plan's drug rules in plain English so you know up front: https://t.co/gEeiyDmxAQ #Free #OpenEnrollment #GLP1 @HealthCareGov

[Neals Maxilin @nealsmax]

@newstart_2024 @shemdpodcast @KrisJenner Kris: "I did not do Ozempic."
Also Kris: "I did a peptide injection."
Most momager sentence ever 😂 @grok is semaglutide a peptide?
Sorting out a GLP-1? The free KAIS app reads your plan's rules in plain English, with a cash price estimate: https://t.co/gEeiyDmxAQ #GLP1 #Free

[Neals Maxilin @nealsmax]

@postandcourier That price tag is why the drug list matters. During open enrollment, look up your household's regular meds on the 2027 list and note each tier, since that shifts what you pay. KAIS by Apex Flow, FREE Beta demo, not medical advice: https://t.co/gEeiyDmxAQ #OpenEnrollment #Free

[Neals Maxilin @nealsmax]

@GBAFReview For patients the key step stays the same: check whether Zepbound or Wegovy is on your plan's 2027 drug list, its tier, and any prior auth rules. KAIS by Apex Flow, FREE Beta demo, no account, 12 languages, not medical advice. #Wegovy #GLP1 #Free

[Neals Maxilin @nealsmax]

@dykemeetsworld Use the wait! List your meds by exact name and dose now, so when your window opens you can check each plan's drug list fast. KAIS by Apex Flow, FREE Beta demo with Walgreens one-tap refill or transfer in early access, not medical advice. #OpenEnrollment #Free

[Neals Maxilin @nealsmax]

@K_Jovan Oof. Next step: check where each of your meds sits on the new 2027 drug list, since a higher tier can change what you pay at the pharmacy. KAIS by Apex Flow, FREE early access demo, not medical advice: https://t.co/gEeiyDn5qo #OpenEnrollment #Free

[Neals Maxilin @nealsmax]

@WeiserPrincess Hang in there! A tip to pass along: have employees list each regular med by exact name and dose before comparing plans, so drug list questions go faster. KAIS by Apex Flow, FREE Beta demo, no account, 12 languages, not medical advice. #OpenEnrollment #Free

[Neals Maxilin @nealsmax]

@ReutersLegal Whatever the ads say, the number that matters is your own plan's. Look up Zepbound or Wegovy by name on your 2027 drug list and check for prior auth or step therapy flags. KAIS by Apex Flow, FREE Beta demo, no account, 12 languages, not medical advice. #GLP1 #Zepbound #Free

[Neals Maxilin @nealsmax]

@YourHealthIdaho Great resource. Bring a list of your meds with exact names and doses so each plan's drug list and PA rules can be checked. KAIS by Apex Flow, FREE demo with Walgreens refill or transfer in early access, not medical advice: https://t.co/gEeiyDn5qo #OpenEnrollment #Free

[Neals Maxilin @nealsmax]

@SalalCU Smart warning. Shop only on the official marketplace or your state exchange site, and never share a member ID with an unexpected caller. @HealthCareGov @grok KAIS by Apex Flow, FREE Beta demo, no account needed, not medical advice. #OpenEnrollment #Free

[Neals Maxilin @nealsmax]

@VAHouseDems Helpful reminder. While comparing plans before Nov 1, look up each regular med by exact name and dose on the drug list and note its tier. KAIS by Apex Flow, FREE Beta demo, shows what a plan's policy says, no account, 12 languages, not medical advice. #OpenEnrollment #Free