BC/BS NJ Copy of Denial Letter

[Guest guest]

Hi,

Blue Cross/Blue Shield of New Jersey told me over the phone that they

have denied treatment for my daughter Sofia. Reason was it was not

a " medical necessity " . Both her Pediatrician and plastic surgeon

sent in letters saying it was a medical necessity. Why would they

use this as an excuse? I have not received the denial letter in the

mail so I asked them to please fax it over but they haven't. Every

time I call and ask for it they take my number down but do not return

my calls.

What else can I do to get a copy of this denial letter? Also, what

is my fist step in appealing their decision?

I'm in tears every time I hang up the phone with them. I cannot

understand how cold they can be especially when it comes to treatment

for a baby.

Barbara (Sofia's mommy)