amy,emma's mom bcbs appeal advice

June 17, 2002

Hi Amy,

It seems to me that you have a great chance of getting your denial

overturned simply because BCBS of North Carolina has already covered a

headband already for another baby at 100%. You can see for yourself

if you go into this groups " Database " section and open the section

" Who's Insurance Paid What. " I don't know what your daughter's

condition is, but the baby I'm speaking of had torticollis and was not

born with a flatspot. This is the same condition as my daughter. Make

sure to address this in your appeal letter. I formatted my appeal

letter after an appeal letter that's posted here at the group site

under " Files " , then go to " Help Folder " and then to " Insurance Help. "

Once in here the letter is titled " Coventry Appeal " and after his

second appeal letter his denial was overturned. The first appeal

letter refers to several articles, and peer-reviewed journal articles.

Two of the reference materials from the AMA and WebMD are listed in

the " Insurance Help " section and the others I received from Cranial

Therapies.

Did your insurance send the information on which they based their

denial? I had to request this info and one of the interesting reasons

they listed was that " remarkably few adults have

deformities...suggesting that the abnormality is either

self-correcting or effectively masked... " Hello, you

idiots, plagiocephaly is tied to the Back to Sleep movement of 1992.

Adults now were primarily stomach sleepers when they were babies

because that's what doctors recommended then! I referred to the

article " Sleep Position Tied to Head Flattening " in Pediatric News

(from CT) and a description of positional plagiocephaly at

If you'd like you can call me at home at (909)463-6505 or you can post

your fax # or mailing address and I can send you copies of my letter

and everything. I'm not that computer savvy and don't know how to

copy all my info to group or e-mail. Good luck.

, 's mom

Southern California

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