Guest guest Posted March 27, 2008 Report Share Posted March 27, 2008 Thanks for your response. Good luck with the appeal. Keep me posted on the outcome. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 27, 2008 Report Share Posted March 27, 2008 Thanks! I'll be sure to talk to our pediatrician about including her diagnosis. Let me know how things turn out. , mom to 7 months - DOC band 3/14/08 Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 28, 2008 Report Share Posted March 28, 2008 does anyone have experience with appealing to United Healthcare? I will be doing this as it is clearly stated that Durable Medical Equip is covered, as is other services that could incorporate the band. If nothing else, I want the money accounted for in our deductible for the year... thanks. Re: Blue Cross Blue Shield CareFirst of VA Thanks for your response. Good luck with the appeal. Keep me posted on the outcome. Be a better friend, newshound, and know-it-all with Mobile. Try it now. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 28, 2008 Report Share Posted March 28, 2008 I have Empire Plan New York, Blue Cross Blue Shield united Healthcare and they covered 2600 of it without an issue. Not sure why they are doing this to you. Did you have an neurologist note for medical necessity, did you send measurements from your banding office, also, did you get a pre approval. We did get a pre approval letter. Good luck and keep trying. We got pre approved and sent a 9 page packet with all our info the first time so they had it all when reviewing how much to cover. I believe IKA on this site has a letter she used to get her money from United Healthcare, look in the files section. Tammy From: <melissakyleclark@...>Subject: Re: Re: Blue Cross Blue Shield CareFirst of VAPlagiocephaly Date: Friday, March 28, 2008, 11:10 AM does anyone have experience with appealing to United Healthcare? I will be doing this as it is clearly stated that Durable Medical Equip is covered, as is other services that could incorporate the band. If nothing else, I want the money accounted for in our deductible for the year... thanks. Re: Blue Cross Blue Shield CareFirst of VA Thanks for your response. Good luck with the appeal. Keep me posted on the outcome. Be a better friend, newshound, and know-it-all with Mobile. Try it now. Looking for last minute shopping deals? Find them fast with Search. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 28, 2008 Report Share Posted March 28, 2008 I have a dr RX and all of the documents from CT. I will call them back and appeal their decision if it is still exclusionary. Just a pain that they are not more helpful from the beginning especially with little kids. Thanks for your info and I will look up the letter you mentioned. Re: Blue Cross Blue Shield CareFirst of VA Thanks for your response. Good luck with the appeal. Keep me posted on the outcome. Be a better friend, newshound, and know-it-all with Mobile. Try it now. Looking for last minute shopping deals? Find them fast with Search. Be a better friend, newshound, and know-it-all with Mobile. Try it now. Quote Link to comment Share on other sites More sharing options...
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