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INSURANCE DENIALS

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anyone ever deal with a situation where the insurance company denies a

pre-auth due to the procedure (lefort I) not a covered benefit on the

insurance plan? Basically what the OS insurance rep told me was that

my employer had excluded this procedure (orthognathic surgery) from

the insurance plan. So the insurance basically has no choice but to

deny it. This doesn't seem like the normal insurance denial, just

wondering if this happened to anyone else out there.

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