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What plans want to see: Specific dates of participation in a structured program Nutrition counseling sessions (provider visits, dietitian visits) Documented exercise regimen with duration and frequency Weight history with specific dates and values Previous weight-loss medication trials and outcomes App-based program participation (Noom, MyFitnessPal, Weight Watchers, etc.) Behavioral changes attempted with specific calorie reduction targets If your plan requires this documentation and you have not yet completed it, completing and documenting it now is often faster than fighting the denial

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