Re: I can't believe it...UHC PAID!!!!!

[Guest guest]

Ana:

WOW , what terrific news! I'm so happy for you! I bet

(another UHC fighter) will be interested to read about your victory!

TERRIFIC.

How is Jace doing in his band? Any improvement? Let us know.

Congrats again on the ins. victory.

Debbie Abby's mom dOCgrad

MI

> So I was at CT yesterday morning, and they tell me I have a balance

> due. I questioned it because I already paid my portion of the

> coverage. We were just waiting for UHC to deny the claim and then

> start paying for the rest. CT filed our claim with UHC on March

26th

> and we had still not heard anything. Well when I inquired about the

> balance due, she looked into the computer and casually said, oh

> yeah, UHC paid. WHAT THE...?#! I thought I was hearing things. I

> asked her to double check. And yes it's true, they paid.

> Surprisingly enough, when I got home, there was an invoice for the

> balance from CT in the mailbox. And it clearly shows the paid

amount

> by UHC. I'm still in a state of shock. UHC paid the out of network

> amount. We originally thought IF they paid they would pay the in

> network amount because no one else provided the same service. CT

> said they would go back and try to get the difference from them.

> Honestly, I don't care if I had to pay a couple of hundred more.

The

> fact is they paid something. I just can't beleive it. No denial, no

> appeals, no nothing, just, here is their portion. I was certain we

> would be denied, especially since we never got any x-rays or CT

> scans or ever saw a neurosurgeon. We simply went on the

> recommendation from the ped and CT. WOW!

>

> Needless to say we are am extrememly happy. But on the flip side, I

> really feel bad because so many of you are having so much

> difficulty. I really hope the fact that I was approved means we are

> moving in the right direction with the insurance companies.

>

> Ana & Jace (banded 4/5/02)

[Guest guest]

Ana-

Congratulations! That is so awesome.

We just got a letter today that the jerks at our hearing upheld the

decision to deny us. So, now we are onto the Ohio Department of

Insurance. The crusade continues!

Is there anyway you would be able to find out what procedure code

was used. They seem to codeit as DME for everyone unless you have

an orthotics exclusion and then suddenly it becomes an orthotic.

I hope this great news started your weekend in the right direction!

Dane's mom (DOC Band 2/14)

> So I was at CT yesterday morning, and they tell me I have a

balance

> due. I questioned it because I already paid my portion of the

> coverage. We were just waiting for UHC to deny the claim and then

> start paying for the rest. CT filed our claim with UHC on March

26th

> and we had still not heard anything. Well when I inquired about

the

> balance due, she looked into the computer and casually said, oh

> yeah, UHC paid. WHAT THE...?#! I thought I was hearing things. I

> asked her to double check. And yes it's true, they paid.

> Surprisingly enough, when I got home, there was an invoice for the

> balance from CT in the mailbox. And it clearly shows the paid

amount

> by UHC. I'm still in a state of shock. UHC paid the out of network

> amount. We originally thought IF they paid they would pay the in

> network amount because no one else provided the same service. CT

> said they would go back and try to get the difference from them.

> Honestly, I don't care if I had to pay a couple of hundred more.

The

> fact is they paid something. I just can't beleive it. No denial,

no

> appeals, no nothing, just, here is their portion. I was certain we

> would be denied, especially since we never got any x-rays or CT

> scans or ever saw a neurosurgeon. We simply went on the

> recommendation from the ped and CT. WOW!

>

> Needless to say we are am extrememly happy. But on the flip side,

I

> really feel bad because so many of you are having so much

> difficulty. I really hope the fact that I was approved means we

are

> moving in the right direction with the insurance companies.

>

> Ana & Jace (banded 4/5/02)

[Guest guest]

We just got a letter today that the jerks at our hearing upheld the decision to deny us.

Oh poop, !!!! Major bummer! ( Sorry to hear the bad news.

Hope you get better results with the DOI!!!

Kendra

Re: I can't believe it...UHC PAID!!!!!

Ana-Congratulations! That is so awesome. We just got a letter today that the jerks at our hearing upheld the decision to deny us. So, now we are onto the Ohio Department of Insurance. The crusade continues!Is there anyway you would be able to find out what procedure code was used. They seem to codeit as DME for everyone unless you have an orthotics exclusion and then suddenly it becomes an orthotic.I hope this great news started your weekend in the right direction!Dane's mom (DOC Band 2/14)> So I was at CT yesterday morning, and they tell me I have a balance > due. I questioned it because I already paid my portion of the > coverage. We were just waiting for UHC to deny the claim and then > start paying for the rest. CT filed our claim with UHC on March 26th > and we had still not heard anything. Well when I inquired about the > balance due, she looked into the computer and casually said, oh > yeah, UHC paid. WHAT THE...?#! I thought I was hearing things. I > asked her to double check. And yes it's true, they paid. > Surprisingly enough, when I got home, there was an invoice for the > balance from CT in the mailbox. And it clearly shows the paid amount > by UHC. I'm still in a state of shock. UHC paid the out of network > amount. We originally thought IF they paid they would pay the in > network amount because no one else provided the same service. CT > said they would go back and try to get the difference from them. > Honestly, I don't care if I had to pay a couple of hundred more. The > fact is they paid something. I just can't beleive it. No denial, no > appeals, no nothing, just, here is their portion. I was certain we > would be denied, especially since we never got any x-rays or CT > scans or ever saw a neurosurgeon. We simply went on the > recommendation from the ped and CT. WOW! > > Needless to say we are am extrememly happy. But on the flip side, I > really feel bad because so many of you are having so much > difficulty. I really hope the fact that I was approved means we are > moving in the right direction with the insurance companies. > > Ana & Jace (banded 4/5/02)For more plagio info