Re: Tricare codes for the mitchells to be covered, Faith,

[Guest guest]

, I sent in our appeal about 3 weeks ago and haven't heard anything. I

spoke to one of the Tricare reps and they said the only brace that was covered

was some brace that went up the leg.... I can only assumed that they meant the

old polio-type braces that now you only see in pictures. What a joke! Anyway, I

know the coides are wrong and the 22.000 was probably for the impression kit.

That is all they reembursed us for on the first claim. We didn't get reembursed

for the bar, because we didn't know the code for it at the time. On our first

pair of shoes, gave us a handwritten invoice and i wasn't even aware that

he had a separate code for it as he just billed 350$ for L3252. So.... I sent in

a letter of necessity from Dr Ponseti

, the pamphlet that comes with the shoes now, a personal letter from us, copies

of original claims, and photos of Gabe wearing the brace. Hopefully, I'll hear

something soon.

boothejennifer wrote:Faith and anyone that has been

having trouble w/tricare covering the

s. I wanted to put the codes on here and if anyone would like

to know the proper procedures that need to be followed feel free to

email me personally at boothejennifer@...

Tricare is a pain in the arse so there are a bunch of steps that must

be done in proper order.

I did not get reimbursed for the shoes though which I am still working

on. I got $86.00 for the bar which was full amount charged and $22.00

for something coded as (S0395) which I think is postage charged.

Code for the bar is (L3150)

Shoes were coded as (L3252) NOT covered coded this way; so I will try

to get them switched to something else.

Hope that may help someone out there!!

[Guest guest]

HI I would like to put my advice in here. I got tricare to pay for the bar. But

I didn't need a code I just had the military doc order it for Orthopedic's

clinic.He order it then I took it to doc Ponseti. and he then set the bar. as

for the shoes I have fought with them over and over again and have since given

up according to them if the shoes do not cover the claf they will not cover

them. so if you find away I would love to know.

Thanks I hope this may help

faith slattery wrote:

, I sent in our appeal about 3 weeks ago and haven't heard anything. I

spoke to one of the Tricare reps and they said the only brace that was covered

was some brace that went up the leg.... I can only assumed that they meant the

old polio-type braces that now you only see in pictures. What a joke! Anyway, I

know the coides are wrong and the 22.000 was probably for the impression kit.

That is all they reembursed us for on the first claim. We didn't get reembursed

for the bar, because we didn't know the code for it at the time. On our first

pair of shoes, gave us a handwritten invoice and i wasn't even aware that

he had a separate code for it as he just billed 350$ for L3252. So.... I sent in

a letter of necessity from Dr Ponseti

, the pamphlet that comes with the shoes now, a personal letter from us, copies

of original claims, and photos of Gabe wearing the brace. Hopefully, I'll hear

something soon.

boothejennifer wrote:Faith and anyone that has been

having trouble w/tricare covering the

s. I wanted to put the codes on here and if anyone would like

to know the proper procedures that need to be followed feel free to

email me personally at boothejennifer@...

Tricare is a pain in the arse so there are a bunch of steps that must

be done in proper order.

I did not get reimbursed for the shoes though which I am still working

on. I got $86.00 for the bar which was full amount charged and $22.00

for something coded as (S0395) which I think is postage charged.

Code for the bar is (L3150)

Shoes were coded as (L3252) NOT covered coded this way; so I will try

to get them switched to something else.

Hope that may help someone out there!!

[Guest guest]

We'll see what they say this time, but yeah, the rep told me about it cover the

calves... I was like " What century are you people getting your info from? " I'll

let you know what rejection they come up with this time.

jj jellbean wrote: HI I would like to put my advice in here.

I got tricare to pay for the bar. But I didn't need a code I just had the

military doc order it for Orthopedic's clinic.He order it then I took it to doc

Ponseti. and he then set the bar. as for the shoes I have fought with them over

and over again and have since given up according to them if the shoes do not

cover the claf they will not cover them. so if you find away I would love to

know.

Thanks I hope this may help

faith slattery wrote:

, I sent in our appeal about 3 weeks ago and haven't heard anything. I

spoke to one of the Tricare reps and they said the only brace that was covered

was some brace that went up the leg.... I can only assumed that they meant the

old polio-type braces that now you only see in pictures. What a joke! Anyway, I

know the coides are wrong and the 22.000 was probably for the impression kit.

That is all they reembursed us for on the first claim. We didn't get reembursed

for the bar, because we didn't know the code for it at the time. On our first

pair of shoes, gave us a handwritten invoice and i wasn't even aware that

he had a separate code for it as he just billed 350$ for L3252. So.... I sent in

a letter of necessity from Dr Ponseti

, the pamphlet that comes with the shoes now, a personal letter from us, copies

of original claims, and photos of Gabe wearing the brace. Hopefully, I'll hear

something soon.

boothejennifer wrote:Faith and anyone that has been

having trouble w/tricare covering the

s. I wanted to put the codes on here and if anyone would like

to know the proper procedures that need to be followed feel free to

email me personally at boothejennifer@...

Tricare is a pain in the arse so there are a bunch of steps that must

be done in proper order.

I did not get reimbursed for the shoes though which I am still working

on. I got $86.00 for the bar which was full amount charged and $22.00

for something coded as (S0395) which I think is postage charged.

Code for the bar is (L3150)

Shoes were coded as (L3252) NOT covered coded this way; so I will try

to get them switched to something else.

Hope that may help someone out there!!