Re: Insurance Help/carrollokla

[Guest guest]

That is terrific the twins have already rec'd correction in their

bands! It's really amazing isn't it?

I am glad you found the ins. letters in our files section, I hope

they'll be able to help you win your appeal.

Good luck w/the pt for tort, my daughter didn't have it, but I can

imagine how frustrating & tiresome it can be...don't be discouraged

though.

Good luck with ins., pt & the band! Please keep us posted.

Debbie Abby's mom DOCGrad

MI

> > > Hello everyone. This is the first time that I've visited this

> > > group. I have four month old twin girls that have been

diagnosed

> > > with torticollis and have severe plagiocephaly. I contacted

the

> > > insurance company and provided them with the information they

> said

> > > they initially needed to approve the DOC bands: letter of

> medical

> > > necessity, prescription for DOC bands, insurance card, and

> > > pictures/measurements of the girls heads.

> > >

> > > I waited over three weeks for an approval. While I waited, I

> made

> > an

> > > appointment with the DOC band office to get the girls casted,

> since

> > > time is of the essence. The insurance company kept telling me

on

> > the

> > > phone it would be any day and would get me my approval. The

> > > appointment finally came and I got the girls casted and the

next

> > day

> > > they gave me a denial saying that the DOC band was " cosmetic " .

I

> > > have appealed their decision and they came back with the same

> > answer.

> > >

> > > The insurance company acknowledges that the girls have

> torticollis

> > > and that the torticollis caused the plagiocephaly. My problem

is

> > > while the torticollis is recognized as a medical condition,

> however

> > > the plagiocephaly is not. So since the band is treating the

> > > plagiocephaly and not the torticollis, the procedure is listed

as

> > > cosmetic and not medically necessary (even though I have

letters

> > > saying otherwise).

> > >

> > > HELP!!! How can I prove to the insurance company that

> > plagiocephaly

> > > is a " medical " condition (especially since the congenital

> > torticollis

> > > IS a medical condition)??? And if I even get that far, will

the

> > > insurance company reject me anyhow if I got the denial letter

the

> > > next day after the girls were casted?? (The DOC band office

told

> > me

> > > that backdating the approval from the insurance company

wouldn't

> be

> > a

> > > problem.... I didn't realize it might be a problem until after

I

> > read

> > > other testimonies and articiles on the website.)

> > >

> > > Please advise.... Any assistance would be greatly

appreciated...

> > > Thanks!!!

> > >

> > >

> > >

> > > My problem is with the insurance company.