Re: Gail - BCBS TEC assessment

[Guest guest]

,

That's a great idea - making sure the rebuttal documentation is more recent than theirs. Do you remember the name of the article that you used? Was it the one off of the CT website? The copy of the BCBS article that I have is very fuzzy, and I think I saw a date of Feb 2000 on it, so I hope I can still use this argument. I keep reminding myself that the external review committee has to be more reasonable than the morons at Cigna. Maybe I'm stressing for nothing. I sure hope so.

Gail

Gail - BCBS TEC assessment

Hi Gail,

BCBS used their TEC assessment to deny me also. But, their assessment was done in 1999. So, one of the articles I enclosed with my appeal was from the journal "Pediatrics" and discussed hos children with plagio has an increase incidence of ear infection and are at high risk for developmental difficulties. I also pointed out in my appeal that this article was published in Feburary, 2000 *after* their assessment. I don't know if it's too late for you to mention that. BCBS stated that the external review board's decision would be final and the claim would be closed after that.....that turned out to be a good thing for me. Take care.

[Guest guest]

great advice I hope it works for you Gail!

beck

[Guest guest]

--- Gail <momofivftwins@...> wrote:

> ,

> That's a great idea - making sure the rebuttal

> documentation is more recent than theirs. Do you

> remember the name of the article that you used? Was

> it the one off of the CT website? The copy of the

> BCBS article that I have is very fuzzy, and I think

> I saw a date of Feb 2000 on it, so I hope I can

> still use this argument. I keep reminding myself

> that the external review committee has to be more

> reasonable than the morons at Cigna. Maybe I'm

> stressing for nothing. I sure hope so.

>

> Gail

> Gail - BCBS TEC assessment

>

>

> Hi Gail,

>

> BCBS used their TEC assessment to deny me also.

> But, their assessment was done in 1999. So, one of

> the articles I enclosed with my appeal was from the

> journal " Pediatrics " and discussed hos children with

> plagio has an increase incidence of ear infection

> and are at high risk for developmental difficulties.

> I also pointed out in my appeal that this article

> was published in Feburary, 2000 *after* their

> assessment. I don't know if it's too late for you

> to mention that. BCBS stated that the external

> review board's decision would be final and the claim

> would be closed after that.....that turned out to be

> a good thing for me. Take care.

>

>

>

>

>

>

>

>

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>

[Guest guest]

Whoops, I accidentally hit send before I typed

anything. The article I'm talking about is from the

plagio group's website under " Files. " It's listed

under " Pediatrics " and the title is " Long Term

Deformational Outcome in Patients with Deformational

Plagio. " I hope you can use it.

--- Gail <momofivftwins@...> wrote:

> ,

> That's a great idea - making sure the rebuttal

> documentation is more recent than theirs. Do you

> remember the name of the article that you used? Was

> it the one off of the CT website? The copy of the

> BCBS article that I have is very fuzzy, and I think

> I saw a date of Feb 2000 on it, so I hope I can

> still use this argument. I keep reminding myself

> that the external review committee has to be more

> reasonable than the morons at Cigna. Maybe I'm

> stressing for nothing. I sure hope so.

>

> Gail

> Gail - BCBS TEC assessment

>

>

> Hi Gail,

>

> BCBS used their TEC assessment to deny me also.

> But, their assessment was done in 1999. So, one of

> the articles I enclosed with my appeal was from the

> journal " Pediatrics " and discussed hos children with

> plagio has an increase incidence of ear infection

> and are at high risk for developmental difficulties.

> I also pointed out in my appeal that this article

> was published in Feburary, 2000 *after* their

> assessment. I don't know if it's too late for you

> to mention that. BCBS stated that the external

> review board's decision would be final and the claim

> would be closed after that.....that turned out to be

> a good thing for me. Take care.

>

>

>

>

>

>

>

>

------------------------------------------------------------------------------

>

[Guest guest]

Thanks . Now I just have to check dates - we did use that one

already, so I just need to re-refer them to it. My husband wrote a letter

for the external review tonight, but both of us are in pessimistic moods

tonight, so I think I'm going to re-write it tomorrow and lessen the sarcasm

in it. Thanks for your help.

Gail

Gail - BCBS TEC assessment

> >

> >

> > Hi Gail,

> >

> > BCBS used their TEC assessment to deny me also.

> > But, their assessment was done in 1999. So, one of

> > the articles I enclosed with my appeal was from the

> > journal " Pediatrics " and discussed hos children with

> > plagio has an increase incidence of ear infection

> > and are at high risk for developmental difficulties.

> > I also pointed out in my appeal that this article

> > was published in Feburary, 2000 *after* their

> > assessment. I don't know if it's too late for you

> > to mention that. BCBS stated that the external

> > review board's decision would be final and the claim

> > would be closed after that.....that turned out to be

> > a good thing for me. Take care.

> >

> >

> >

> >

> >

> >

> >

> >

> --------------------------------------------------------------------------

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> >