Nathan Lin pushed it across to me.

“Read the first page,” he said.

The first page was a letter from the managed care organisation that administers Maya’s coverage.

It was dated the fourteenth of March 2023.

It said, in the third paragraph, that the request for a custom rigid-frame manual wheelchair with seating system, submitted by a named supplier on the twenty-eighth of February, had been denied.

And the reason given, in the fourth paragraph, was that the documentation submitted did not establish medical necessity, because the submitted evaluation did not include a mobility-specific functional assessment from a qualified therapist, and because the supplier had used an outdated form.