Re: UHC Payment being made

[Guest guest]

Wow!! Maybe they were doing a routine audit of their practices-

yeah right - LOL No idea but congratulations!!!

na, DOC Grad X2 Feb 04, Tort Resvoled

Kiersten, DOC Grad April 06, Tort Resolved

www.thefilyaws.com/plagio/plagio.html

>

> Hi Everyone. I rarely post because my son was only in his helmet

for

> 6 weeks and we didn't have any problems with it. I have still

been

> watchin everyone elses posts.

>

> I received an interesting letter in the mail from UHC. My son has

> been out of his helmet for some time now. He received it in March

> and only wore it for 6 weeks. I have not submitted an appeal

yet. I

> was getting ready to start everything needed for it next week.

The

> only thing I had done was to get my son pediatrician to talk

directly

> with the UHC one.

>

> Here is the letter...and remember I had not appealed yet....

>

> " We reviewed the appeal filed on your behalf regarding coverage of

> the above service that Bradley received from Hanger Orthopedic

> Group. We understand the appeal to state that the service

rendered

> by Hanger Orthopedic Group should be considered under the plan

> because the service was medically necessary. During our review,

we

> considered all the supporting information we have received to

date.

>

> The plan under which you are covered is self-funded Group Employee

> Welfare Benefit Plan by ERISA. This plan is not subject to state

> insurance law. United Healthcare provides administrative and

claim

> payment services to the plan. United Healthcare is not the

insurer

> of the plan.

>

> We make decisions about claims payments for medical care based on

> your Summary Plan Description and any information we receive as

part

> of an appeal. Coverage is subject to the exclusions, limitations,

> and other terms of your Summary Plan Description.

>

> Based on the information reviewed, we are pleased to inform you

that

> we have reconsidered these charges as an error was made in the

> original processing. Your provider will receive payment within

seven

> to fourteen business days.....

>

> Vicki S.

> Appeals Coordinator "

>

>

> So I left out another two paragraphs, but I thouht any of you UHC

> patients might be interested in this. I have no idea what

happened

> for UHC to change their mind.

>

[Guest guest]

YAH! What awesome news. Thanks for sharing it with us.

-- In Plagiocephaly , " lndahfmn " <kristina.hoffman@...>

wrote:

>

> Hi Everyone. I rarely post because my son was only in his helmet for

> 6 weeks and we didn't have any problems with it. I have still been

> watchin everyone elses posts.

>

> I received an interesting letter in the mail from UHC. My son has

> been out of his helmet for some time now. He received it in March

> and only wore it for 6 weeks. I have not submitted an appeal yet. I

> was getting ready to start everything needed for it next week. The

> only thing I had done was to get my son pediatrician to talk directly

> with the UHC one.

>

> Here is the letter...and remember I had not appealed yet....

>

> " We reviewed the appeal filed on your behalf regarding coverage of

> the above service that Bradley received from Hanger Orthopedic

> Group. We understand the appeal to state that the service rendered

> by Hanger Orthopedic Group should be considered under the plan

> because the service was medically necessary. During our review, we

> considered all the supporting information we have received to date.

>

> The plan under which you are covered is self-funded Group Employee

> Welfare Benefit Plan by ERISA. This plan is not subject to state

> insurance law. United Healthcare provides administrative and claim

> payment services to the plan. United Healthcare is not the insurer

> of the plan.

>

> We make decisions about claims payments for medical care based on

> your Summary Plan Description and any information we receive as part

> of an appeal. Coverage is subject to the exclusions, limitations,

> and other terms of your Summary Plan Description.

>

> Based on the information reviewed, we are pleased to inform you that

> we have reconsidered these charges as an error was made in the

> original processing. Your provider will receive payment within seven

> to fourteen business days.....

>

> Vicki S.

> Appeals Coordinator "

>

>

> So I left out another two paragraphs, but I thouht any of you UHC

> patients might be interested in this. I have no idea what happened

> for UHC to change their mind.

>

[Guest guest]

That is wonderful, congrats. I think your ped did the appeal for

you with a med nec letter.

Sandy Willow's Mom

Torticollis resolved

Cranio Germany Grad 02/04

>

> Hi Everyone. I rarely post because my son was only in his helmet

for

> 6 weeks and we didn't have any problems with it. I have still

been

> watchin everyone elses posts.

>

> I received an interesting letter in the mail from UHC. My son has

> been out of his helmet for some time now. He received it in March

> and only wore it for 6 weeks. I have not submitted an appeal

yet. I

> was getting ready to start everything needed for it next week.

The

> only thing I had done was to get my son pediatrician to talk

directly

> with the UHC one.

>

> Here is the letter...and remember I had not appealed yet....

>

> " We reviewed the appeal filed on your behalf regarding coverage of

> the above service that Bradley received from Hanger Orthopedic

> Group. We understand the appeal to state that the service

rendered

> by Hanger Orthopedic Group should be considered under the plan

> because the service was medically necessary. During our review,

we

> considered all the supporting information we have received to

date.

>

> The plan under which you are covered is self-funded Group Employee

> Welfare Benefit Plan by ERISA. This plan is not subject to state

> insurance law. United Healthcare provides administrative and

claim

> payment services to the plan. United Healthcare is not the

insurer

> of the plan.

>

> We make decisions about claims payments for medical care based on

> your Summary Plan Description and any information we receive as

part

> of an appeal. Coverage is subject to the exclusions, limitations,

> and other terms of your Summary Plan Description.

>

> Based on the information reviewed, we are pleased to inform you

that

> we have reconsidered these charges as an error was made in the

> original processing. Your provider will receive payment within

seven

> to fourteen business days.....

>

> Vicki S.

> Appeals Coordinator "

>

>

> So I left out another two paragraphs, but I thouht any of you UHC

> patients might be interested in this. I have no idea what

happened

> for UHC to change their mind.

>