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Re: Help with Blue Cross Blue Shield Denial

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Basically you need a letter of medical necessity written by the prescribing

doctor, a written prescription for a life time wear of the Ponseti abduction

brace and custom AFO(shoes) to maintain correction, and then an invoice from

and a claim form you can print off the BCBS website or call and

have them mail you one. Fill the claim form out(make a copy for you), send

copies of the letter and prescription, not originals, of all the above and wait

for them to process the claim. It took about 20 days for them to process and

send us a check. However, this could apply to deductibles if your child has not

met the yearly deductible. You would have to check your plan's benefits.

That is it in a nutshell. It is important and crucial to follow the steps or it

will be denied. IF ou need help in filling out the claim form let me know and I

am happy to help.

jlkittredge wrote:

Hi

There was once a posting on this group's message board as to how she

(or he) got Blue Cross Blue Shield to pay for the Ponseti

Brace. We are having problems...our insurance (BCBS) is denying our

claim...if there's anyone out there who can help we would greatly

appreciate it.

Thank you,

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Basically you need a letter of medical necessity written by the prescribing

doctor, a written prescription for a life time wear of the Ponseti abduction

brace and custom AFO(shoes) to maintain correction, and then an invoice from

and a claim form you can print off the BCBS website or call and

have them mail you one. Fill the claim form out(make a copy for you), send

copies of the letter and prescription, not originals, of all the above and wait

for them to process the claim. It took about 20 days for them to process and

send us a check. However, this could apply to deductibles if your child has not

met the yearly deductible. You would have to check your plan's benefits.

That is it in a nutshell. It is important and crucial to follow the steps or it

will be denied. IF ou need help in filling out the claim form let me know and I

am happy to help.

jlkittredge wrote:

Hi

There was once a posting on this group's message board as to how she

(or he) got Blue Cross Blue Shield to pay for the Ponseti

Brace. We are having problems...our insurance (BCBS) is denying our

claim...if there's anyone out there who can help we would greatly

appreciate it.

Thank you,

Link to comment
Share on other sites

Basically you need a letter of medical necessity written by the prescribing

doctor, a written prescription for a life time wear of the Ponseti abduction

brace and custom AFO(shoes) to maintain correction, and then an invoice from

and a claim form you can print off the BCBS website or call and

have them mail you one. Fill the claim form out(make a copy for you), send

copies of the letter and prescription, not originals, of all the above and wait

for them to process the claim. It took about 20 days for them to process and

send us a check. However, this could apply to deductibles if your child has not

met the yearly deductible. You would have to check your plan's benefits.

That is it in a nutshell. It is important and crucial to follow the steps or it

will be denied. IF ou need help in filling out the claim form let me know and I

am happy to help.

jlkittredge wrote:

Hi

There was once a posting on this group's message board as to how she

(or he) got Blue Cross Blue Shield to pay for the Ponseti

Brace. We are having problems...our insurance (BCBS) is denying our

claim...if there's anyone out there who can help we would greatly

appreciate it.

Thank you,

Link to comment
Share on other sites

Basically you need a letter of medical necessity written by the prescribing

doctor, a written prescription for a life time wear of the Ponseti abduction

brace and custom AFO(shoes) to maintain correction, and then an invoice from

and a claim form you can print off the BCBS website or call and

have them mail you one. Fill the claim form out(make a copy for you), send

copies of the letter and prescription, not originals, of all the above and wait

for them to process the claim. It took about 20 days for them to process and

send us a check. However, this could apply to deductibles if your child has not

met the yearly deductible. You would have to check your plan's benefits.

That is it in a nutshell. It is important and crucial to follow the steps or it

will be denied. IF ou need help in filling out the claim form let me know and I

am happy to help.

jlkittredge wrote:

Hi

There was once a posting on this group's message board as to how she

(or he) got Blue Cross Blue Shield to pay for the Ponseti

Brace. We are having problems...our insurance (BCBS) is denying our

claim...if there's anyone out there who can help we would greatly

appreciate it.

Thank you,

Link to comment
Share on other sites

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