Re: Definity/United Healthcare paid for our helmet! don't give up!

[Guest guest]

I second that. We have United Healthcare in Boston and used NOPCO. It

was a long process but we finally were able to get it paid out. The

handling of the claims was the one complaint I did have about

Nopco...they operated at a turtle's pace. I think we only ended up at

80% payment but MUCH better than zero.

FYI, it didn't require any special appeals letters, just a lot of

nagging :-)

Hope this helps.

>

> hello everyone!

>

> I posted a while back about Definity/UHC not wanting to cover my son's

> helmet. After denied pre-certifications, 2 denied appeals (1 sent to

> the wrong place b/c I was misinformed by a UHC cust service rep), and

> some of the worst customer service I have ever received, we finally

> got the helmet covered.

>

> We go to Northeast Orthotics in Providence, RI and they suggested that

> even though UHC said that the helmet would not be covered, that they

> submit the claim anyway. In the past some of their patients had been

> told by their insurance that the helmet would not be covered, only to

> pay the claim when submitted by the office.

>

> So the moral of the story is not to give up!

>

> Evan has been in his helmet now for 5 weeks and we already have had

> measurable improvement!

>

> I'll post my letters when I get a chance.

>

[Guest guest]

Congrats on getting UHC to cover the helmet! I am definitely

interested in seeing your letters - we are in the process of writing

our first appeal to UHC.

Jenn - 9 months - 2 1/2 months STARband

>

> hello everyone!

>

> I posted a while back about Definity/UHC not wanting to cover my

son's

> helmet. After denied pre-certifications, 2 denied appeals (1 sent to

> the wrong place b/c I was misinformed by a UHC cust service rep),

and

> some of the worst customer service I have ever received, we finally

> got the helmet covered.

>

> We go to Northeast Orthotics in Providence, RI and they suggested

that

> even though UHC said that the helmet would not be covered, that they

> submit the claim anyway. In the past some of their patients had

been

> told by their insurance that the helmet would not be covered, only

to

> pay the claim when submitted by the office.

>

> So the moral of the story is not to give up!

>

> Evan has been in his helmet now for 5 weeks and we already have had

> measurable improvement!

>

> I'll post my letters when I get a chance.

>