Re: Insurance Appeals for Blue Cross Blue Shield of NC or land

[Guest guest]

Hi Judith & welcome to our group!

Would you mind giving us some more information about your plagio

baby? Is your child currently wearing the DOCband or are you waiting

to hear about your insurance coverage before getting the band? If

your baby is already in their band, how is it going? Any improvement?

I really can't offer much insurance information, but we have a ton of

other members who I know will be a good help to you with great

information. You can also look at our " bookmarks " section for more

help, as well as our " files " section, then the " help folder " then

the " insurance help " folder. As well as

www.plagiocephaly.org/support then " insurance issues " .

Welcome again to our group! I hope we can help you w/your insurance

battle. We look forward to hearing more from you.

Debbie Abby's mom DOCGrad

MI

> Hi,

> Did anyone out there have to go through the appeals process for the

> second time before your insurance company approved payment for the

> DOC band? I live in NC but our family's insurance is with Care

First

> BCBS of land because my husband's job's main office is in

> land. The bottom line is that MD has to approve it.

>

> We got all documentation for the first appeal from Cranial

> Technologies and did not add anything to it. I wrote a 7 page

letter

> with the documentation to explain why under our insurance contract

> that the DOC band should be covered as " durable medical

equipment " .

> It was a very thourough letter.

>

> If we are denied again, (we are still waiting) I'm prepared to

appeal

> again or go to the insurance commissioner of the state of land

if

> need be. We are very patient and understand this process takes a

> long time to get approved if it ever does.

>

> I need some help with " what to do differently " for the second

appeal,

> if anything. Do I just drop the same packet back into the mail but

> with a different letter this time? Or is there other documentation

> that could be added. I realize " more " isn't necessarily " better " .

> Insurance companies are looking for specific documentation, not a

> bunch of fluff. Maybe there is someone out there who has done this

> before and could help us. I would be ever so grateful if there is.

> Thank you so much!

>

> Judith

[Guest guest]

My friend just won her first appeal against Blue Cross Blue Shield of

land for coverage of the DOCband for her son. If you would like

a copy of her appeal letter and/or coverage letter from BCBS email me

and I will contact her for it.

Candy, mom to (DOCband grad 6/3/02)

land

> Hi,

> Did anyone out there have to go through the appeals process for the

> second time before your insurance company approved payment for the

> DOC band? I live in NC but our family's insurance is with Care

First

> BCBS of land because my husband's job's main office is in

> land. The bottom line is that MD has to approve it.

>

> We got all documentation for the first appeal from Cranial

> Technologies and did not add anything to it. I wrote a 7 page

letter

> with the documentation to explain why under our insurance contract

> that the DOC band should be covered as " durable medical

equipment " .

> It was a very thourough letter.

>

> If we are denied again, (we are still waiting) I'm prepared to

appeal

> again or go to the insurance commissioner of the state of land

if

> need be. We are very patient and understand this process takes a

> long time to get approved if it ever does.

>

> I need some help with " what to do differently " for the second

appeal,

> if anything. Do I just drop the same packet back into the mail but

> with a different letter this time? Or is there other documentation

> that could be added. I realize " more " isn't necessarily " better " .

> Insurance companies are looking for specific documentation, not a

> bunch of fluff. Maybe there is someone out there who has done this

> before and could help us. I would be ever so grateful if there is.

> Thank you so much!

>

> Judith

[Guest guest]

hi. i just mailed in my first appeal letter to BCBS-NC today!

although i hope i don't have to go through a second appeal, i'm

expecting that i'll have to. i would LOVE a copy of your friends

letter. not only for myself, but also for a friend who is just

starting her appeal process.

amy_coppedge@...

or

amy_coppedge@...

THANK YOU!

amy

> > Hi,

> > Did anyone out there have to go through the appeals process for

the

> > second time before your insurance company approved payment for

the

> > DOC band? I live in NC but our family's insurance is with Care

> First

> > BCBS of land because my husband's job's main office is in

> > land. The bottom line is that MD has to approve it.

> >

> > We got all documentation for the first appeal from Cranial

> > Technologies and did not add anything to it. I wrote a 7 page

> letter

> > with the documentation to explain why under our insurance

contract

> > that the DOC band should be covered as " durable medical

> equipment " .

> > It was a very thourough letter.

> >

> > If we are denied again, (we are still waiting) I'm prepared to

> appeal

> > again or go to the insurance commissioner of the state of

land

> if

> > need be. We are very patient and understand this process takes a

> > long time to get approved if it ever does.

> >

> > I need some help with " what to do differently " for the second

> appeal,

> > if anything. Do I just drop the same packet back into the mail

but

> > with a different letter this time? Or is there other

documentation

> > that could be added. I realize " more " isn't

necessarily " better " .

> > Insurance companies are looking for specific documentation, not a

> > bunch of fluff. Maybe there is someone out there who has done

this

> > before and could help us. I would be ever so grateful if there

is.

> > Thank you so much!

> >

> > Judith

[Guest guest]

-

Does anyone out there have any more examples of successful appeal

letters out there or tips. I am battling bcbs in Missouri

Angele

-- In Plagiocephaly@y..., " candaceanddavid " <Candaceanddavid@a...>

wrote:

> My friend just won her first appeal against Blue Cross Blue Shield

of

> land for coverage of the DOCband for her son. If you would

like

> a copy of her appeal letter and/or coverage letter from BCBS email

me

> and I will contact her for it.

>

> Candy, mom to (DOCband grad 6/3/02)

> land

>

>

>

> > Hi,

> > Did anyone out there have to go through the appeals process for

the

> > second time before your insurance company approved payment for

the

> > DOC band? I live in NC but our family's insurance is with Care

> First

> > BCBS of land because my husband's job's main office is in

> > land. The bottom line is that MD has to approve it.

> >

> > We got all documentation for the first appeal from Cranial

> > Technologies and did not add anything to it. I wrote a 7 page

> letter

> > with the documentation to explain why under our insurance

contract

> > that the DOC band should be covered as " durable medical

> equipment " .

> > It was a very thourough letter.

> >

> > If we are denied again, (we are still waiting) I'm prepared to

> appeal

> > again or go to the insurance commissioner of the state of

land

> if

> > need be. We are very patient and understand this process takes a

> > long time to get approved if it ever does.

> >

> > I need some help with " what to do differently " for the second

> appeal,

> > if anything. Do I just drop the same packet back into the mail

but

> > with a different letter this time? Or is there other

documentation

> > that could be added. I realize " more " isn't

necessarily " better " .

> > Insurance companies are looking for specific documentation, not a

> > bunch of fluff. Maybe there is someone out there who has done

this

> > before and could help us. I would be ever so grateful if there

is.

> > Thank you so much!

> >

> > Judith

[Guest guest]

Angele use this link and check in insurance help folder there are plenty of samples in there for you. Let us know if you have difficulty we would love to help and are so gald you are here. Please tell us more about you when you have time.

beck

files

Click here: Insurance Issues