My spouse has been struggling from a progressive illness for 2 yrs. We really need a team of medical professionals to try to figure out what is going on, like what Mayo Clinic claims to do. 3 times we were denied. Not once were we given a reason and on 2 of the denials, we had to call them to find out because they couldn't be bothered to call us. We were told they needed records they already had. We were told 12 pages of documentation was just too much work to read through and they preferred things to be condensed to 2, and they were caught straight up lying about having a record of a doctor-to-doctor meeting. They also claimed to have sent us a denial letter on Dec 14th from their spine center, in response to a referral to the rheumatology department that had not been sent until the 15th. All I can really conclude from all of this is that Mayo doesn't actually want tough cases, they want easy ones so they can inflate their numbers of successes. That, or they simply don't want to treat trans people. Either way, they have no business working with vulnerable populations.