Re: Insurance approval, then a later denial? *please read*

[Guest guest]

Kerri-

Did they tell you were approved over the phone or in writing. UHC

told me I was approved several times. I was even told I never

needed preauth. My friend works in insurance. She told us we

needed to go through all of this. We did and they then denied us.

We fought them all the way to the Dept of Ins. We were denied again

because UHC never had record of us calling.

Hope this doesn't burst your bubble. Just want you to have all your

ducks in a row. UHC is a bunch of creeps.

Dane's mom DOC Grad

> Hi guys,

>

> I have an insurance question for you. We started the process with

in

> July--our Cranial Tech office was kind enough to do all the

insurance

> paperwork for us and even got our company to cover the band in-

network at

> 90%. We paid our 10%, did the casting, got the band, blah, blah,

blah. CT

> still has not gotten paid by the insurance company (United

Healthcare) and

> it's now October.

>

> I had already called back in August to check on the status and

they said they

> needed more information...did I have any other insurance coverage,

etc. They

> said they would resubmit the claim at that time. No payment yet.

>

> I called again today and they are now telling me that the claim is

going

> through a " review " process, whatever that means, because it's for

medical

> equipment. I told the lady that they had already approved us at

90% prior to

> the start of treatment. She says this is standard procedure for

this type of

> claim. I'm scared to death.

>

> Can they give us an approval and then months later, once treatment

has

> started, decline to pay their share? Has this happened to anyone

here? If so,

> what did you do??

>

> Kerri & Baby (Chicago)

[Guest guest]

Oh Kerri

I'm so sorry to hear of your troubles, unfortunatley, I've heard of

other stories very similar to yours. I see another UHC

sufferer has replied to you already. I hope they do end up covering

the band - good luck & keep us posted.

Debbie Abby's mom DOCGrad

MI

> Hi guys,

>

> I have an insurance question for you. We started the process with

in

> July--our Cranial Tech office was kind enough to do all the

insurance

> paperwork for us and even got our company to cover the band in-

network at

> 90%. We paid our 10%, did the casting, got the band, blah, blah,

blah. CT

> still has not gotten paid by the insurance company (United

Healthcare) and

> it's now October.

>

> I had already called back in August to check on the status and they

said they

> needed more information...did I have any other insurance coverage,

etc. They

> said they would resubmit the claim at that time. No payment yet.

>

> I called again today and they are now telling me that the claim is

going

> through a " review " process, whatever that means, because it's for

medical

> equipment. I told the lady that they had already approved us at 90%

prior to

> the start of treatment. She says this is standard procedure for

this type of

> claim. I'm scared to death.

>

> Can they give us an approval and then months later, once treatment

has

> started, decline to pay their share? Has this happened to anyone

here? If so,

> what did you do??

>

> Kerri & Baby (Chicago)