Re: TRI Care Denial for DOC band

[Guest guest]

Hi Andy,

My daughter Mya is in a DOC band. Tricare has denied us. We still

have not received the official denial letter they were supposed to

mail to us. But I have contacted several senators and congressmen on

this issue. And so one of them Senator Helms had gotten a fax

from Tricare with my so called denial letter they said they mailed

me. ANyway on that fax it states that the DOC band is an exclusion to

the policy on Orthotic devices. (It is in a classification with foot

inserts!!) Anyway so Cranial Tech I guess sent a bill to Tricare and

Tricare then denied the claim so they sent me a Explanation of

Benefits. Which on the bottom where the reason is for denial it says.

THis claim for this durable medical equipment has been denied because

it is available for loan at your local military treatment facility.

WEll noooo its not! SO they arent sure whether they are denying it as

an orthotic device or durable medical equipment. ALl they know is

there just denying it. If you have any other questions about Tricare

I will try to help as much as I can. I am still battling this one

myself.

CHristi mom to MYA (DOC band 3/6/02)

--- In Plagiocephaly@y..., " andrewjohndoane " <andrew.doane@s...>

wrote:

> I've read through the archives and seen several posts concerning

TRI

> Care denials for DOC band treatment, but I have not seen the TRI

Care

> justification for denial. I'm hoping someone knows TRI Care's

reason

> for denial. I've also heard that some CT clinics have recently

been

> allowed to bill TRI Care but can't get confirmation of this. Can

> anyone help?

>

> Thanks!

> Andy