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Re: Re: Appeal advice

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Trisha,

Mackenzie was also a big baby! She was 9 lbs 10 oz & 22 inches long but

was 5 days late...I sure wished that she had come a little earlier.

Trisha wrote:

>

> I say GO GAIL!!!! I got a letter from my perinatologist about Braedens

> size too...he was 9lbs 11 oz 2 1/2 weeks early so I hope that

> helps....

>

> Another Cigna Crasader!!!! Trisha

>

>

> > Hi All,

> > I lost my spark for a while, but I'm back at it and working on my

> Level 2 appeal to Cigna. I think I'm on to something and want to get

> your opinions and advice.

> >

> > I spent the morning at the hospital where Sam and Sara were born

> going over all of our medical records. I think that if I can prove

> intrauterine constraint I will have a good argument that banding is

> reconstructive and not cosmetic. Has anyone pursued that route

> before? In Sam's file I found several places where they said he

> was " large for gestational age " . He weighed nearly 8 pounds at birth

> (37.5 weeks). In Sara's file I found where the nurses in the nursery

> made notes about the bruising on her back where she was stuck against

> my pelvic bones. There is notations in both their charts that they

> were breech. Does that matter? Then I got copies of all my

> sonograms (done at least every 4 weeks throughout the pregnancy) and

> the last few reports had a hand-drawn scketch of their position in

> the womb, and it never changed. I think that all this combined is

> enough to prove that my big, fat babies were pretty cramped inside me.

> >

> > Also, I think I have found the article that CIGNA alluded to but

> didn't reference in our most recent denial, and there is a huge

> section in there about tort, plagio and constraint. I think this

> would counter the part they used that said plagio is " simply a

> cosmetic problem " .

> >

> > What's your take on this? Do you think it will work? Any

> suggestions?

> >

> > Thanks,

> > Gail, official Cigna crusader, Sam and Sara's mom, DOC grads

>

> For more plagio info

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