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Re: Ana - Appeal

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Hi !

We actually haven't had to appeal yet because we haven't officially

been denied. We are still waiting to hear. I expect that we will

though, which is why I asked you and for your information. Oh

get this, I was told that UHC is one of the better insurance

companies for coverage. I almost fell out of the chair when I heard

this. I'm not too sure about that.

CT just submitted the claim on 2/26, so we should be hearing a a

couple of weeks. I hope 's hearing goes well.

What about you? Where are you in the process? Hearing scheduled?

Ana

Jace's Mom (DOC Band 4/5)

> Ana -

> Any news on your appeal with UHC?

>

> Dane's mom (DOC Band 2/14)

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Ana -

We have been denied twice because our policy doesn't cover

orthotics. I faxed them a letter requesting a face to face appeal,

but haven't heard anything and it's been about 3 weeks. My guess is

that they " lost " it.

Did you get precertification? Here in Ohio we need precert for any

DME over $1k. We also had to get it for Dane's apnea monitor, but

they approved that right away.

I am with about being Brockovich about this. We are

fortunate that we have the means (or the available credit!) to pay

for this before getting approval. I'm sure there are many parents

out there who have to either forego or delay treatment while waiting

for this ridiculous appeal process. Someone should sue their

insurance company for losing valuable time while appealing. That

family in NJ won against their dr. The same standard should apply

towards insurance.

I think I will contact an atty win or lose. I am on a mission. They

picked the wrong chick to p.o.

> > Ana -

> > Any news on your appeal with UHC?

> >

> > Dane's mom (DOC Band 2/14)

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and Ana,

I spoke with the PR person for CT and she advised me that UHC HATES

to be in the news so she suggested we contacted the Plain Dealer to

do an article. She said since there are three of us in CLeveland

(you, me and ) that they would be definately interested.

She is sending me a copy of a similar article that was done in the

Miami Herald to use as a " basis " .

> > > Ana -

> > > Any news on your appeal with UHC?

> > >

> > > Dane's mom (DOC Band 2/14)

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