Guest guest Posted August 18, 2009 Report Share Posted August 18, 2009 We have BCBS federal employee program and it was covered but that is different from standard BCBS. Did you include a letter of medical necessity with your reimbursement claim? That is normally required with most if not all BCBS plans (from what I've gathered on this board). Also, what state BCBS plan do you have? It all varies from state to state and may help to post that information to see if there is anyone with your exact plan that can help you. Jake-2.5 (DOCBand Grad 9/08) Jordan-5.5 > > Hi all, > My son is 8 months old, using the DOB. Me and my husband have paid for the treatment, and we filed a claim for reimbursement from our insurance company -Blue Cross Blue Shield. We were denied the claim, and we are considering to send an appeal. Has anyone have experience with BCBS concerning this? Any luck? I just would like to know the odds, to decide whether it is worth the effort. I appreciate any suggestions, comments, and support. > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 18, 2009 Report Share Posted August 18, 2009 Hey , We have Blue Cross Blue Shield insurance...Had the vendor check to make sure it was covered. They said it's covered at 100% of customary charges. The cost was $3,600. We paid out of pocket first and got a cash discount ($300) so the cost was $3,300. After going thru alot of red-tape BCBS finally sent us a check for $1,700. We're appealing. The vendor said that for BCBS in Texas, they've seen payments from $2,200 all the way up to the the entire amount of $3,600. So, keep appealing! - > > Hi all, > My son is 8 months old, using the DOB. Me and my husband have paid for the treatment, and we filed a claim for reimbursement from our insurance company -Blue Cross Blue Shield. We were denied the claim, and we are considering to send an appeal. Has anyone have experience with BCBS concerning this? Any luck? I just would like to know the odds, to decide whether it is worth the effort. I appreciate any suggestions, comments, and support. > Quote Link to comment Share on other sites More sharing options...
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