hi everyone my son is 6 months old and got denied by cigna MA for doc band HELP

[Guest guest]

hi everyone i am new here.

My son jack is 6 months old and has congenital tortocollis and saw a

nuerosurgeon on aug 4th and he agreed that yes he needed a helmet wrote a script

and put all the info neces. and sent us on to hager place(they scanned him for

helmet on august 6th. I got a call today from hager and they said that cigna

wrote back to them in fax that they denied the claim due to inadequate info. and

that they would be sending me a letter in mail stating the denial. something

about they want pictures and measurements from the doctor. And now i cant get

ahold of docs medical assistant. and i know doc is on vacation. I just feel

stuck. Kinda in limbo cause i guess cigna was dragging there feet after the scan

and stated they couldnt get ahold of the doctor etc etc. and now they are

denying it for lack of pictures and measurements. they said i can appeal it and

that doc can do a peer to peer with their medical director does anyone have any

advice for me?

Thanks

Mom to Jack

[Guest guest]

Hi

I am almost in the same spot with you. I also have cigna and they just denied

my claim also. I was told I should get a letter in the mail with the denial and

it would tell me how to file and appeal. I am still waiting on the letter. That

is horrible that they denied you because of the lack of measurements. Can you

call the doctors answering service? Or is there a doctor on call that you can

speak to? This is too important for them to ignore. That is wonderful they will

let your sons neuro do a doc to doc. Maybe i need to contact my son's neuro and

see if she can help me out too. Good luck!

>

> hi everyone i am new here.

> My son jack is 6 months old and has congenital tortocollis and saw a

nuerosurgeon on aug 4th and he agreed that yes he needed a helmet wrote a script

and put all the info neces. and sent us on to hager place(they scanned him for

helmet on august 6th. I got a call today from hager and they said that cigna

wrote back to them in fax that they denied the claim due to inadequate info. and

that they would be sending me a letter in mail stating the denial. something

about they want pictures and measurements from the doctor. And now i cant get

ahold of docs medical assistant. and i know doc is on vacation. I just feel

stuck. Kinda in limbo cause i guess cigna was dragging there feet after the scan

and stated they couldnt get ahold of the doctor etc etc. and now they are

denying it for lack of pictures and measurements. they said i can appeal it and

that doc can do a peer to peer with their medical director does anyone have any

advice for me?

>

> Thanks

>

>

> Mom to Jack

>

[Guest guest]

If there is a Cranial Technologies location near you, go see them. They do free evaluations including a photostudy. You do not need a script for that. Give that info to your ped or to the insurance and that should satisfy their requirement.

Leila,Maysa, 19 mo, DOC band Grad 5.26.09

www.mymaysa.wordpress.com

From: me <mcim2007@...>Subject: hi everyone my son is 6 months old and got denied by cigna MA for doc band HELPPlagiocephaly Date: Friday, August 14, 2009, 12:59 PM

hi everyone i am new here. My son jack is 6 months old and has congenital tortocollis and saw a nuerosurgeon on aug 4th and he agreed that yes he needed a helmet wrote a script and put all the info neces. and sent us on to hager place(they scanned him for helmet on august 6th. I got a call today from hager and they said that cigna wrote back to them in fax that they denied the claim due to inadequate info. and that they would be sending me a letter in mail stating the denial. something about they want pictures and measurements from the doctor. And now i cant get ahold of docs medical assistant. and i know doc is on vacation. I just feel stuck. Kinda in limbo cause i guess cigna was dragging there feet after the scan and stated they couldnt get ahold of the doctor etc etc. and now they are denying it for lack of pictures and measurements. they said i can appeal it and that doc can do a peer to peer with their medical director does anyone have any

advice for me? Thanks Mom to Jack