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Dawn,

In looking through my booklet, I found the following statement:

" In some cases, MMO may determine that certain Covered Services can only be

provided by Non-PPO Network Provider. If Covered Services provided by a

Non-Network Provider are pre-authorized by MMO, benefits will be provided as

if the Covered Services ere provided by a PPO Network Provider.

To pre-authorize treatment by a Non-PPO Network Provider, your Physician must

provide MMO with

- the proposed treatment plan for the Covered Services

- the name and location of thte proposed Non-PPO Network Provider

- copies of your medical records, including diagnostic reports; and

- an explanation of why the Covered Services cannot be provided by a PPO

Network

Provider.

MMO will determine whether the Covered Services can be provided by a PPO

Network Provider and that determination will be final and conclusive. MMO

may elect to have you examined by a Physician of its choice and will pay for

any required physical examinations. YOu and your Physician will be notified

if Covered Services provided by a Non-PPO Network Provider will be covered as

if they have been provided by a PPO Network Provider.

If you do not receive written pre-authorization for Covered Services,

benefits will be provided as descibed in the Schedule of Benefits for Covered

Services received from a Non-PPO Network Provider. "

The only hope I have is the original apporoval letter, which, by the way, is

under a different claim number than the denial letter.

Carole

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I still think there is a possibility they are just talking about which

percentage they will pay. I think they may be saying that they are not

granting the in net work higher percentage. You will have to pay the bigger

co pay for an out of network provider. Also check with them if they are

referring to both the doc and hospital. If the hospital is in network then

this only pertains to the doc and it won't be quite as bad (but not fun) to

pay the additional percentage for the doc.

Dawn

Dr. Hess, Bowling Green, OH

BPD/DS

4/27/00

www.duodenalswitch.com

267 to 165 5' 4 "

size 22 to size 10

have made size goal

no more high blood pressure, sore feet, or dieting!

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> I still think there is a possibility they are just talking about

which > percentage they will pay. I think they may be saying that

they are not > granting the in net work higher percentage. You will

have to pay the bigger > co pay for an out of network provider. Also

check with them if they are > referring to both the doc and

hospital. If the hospital is in network then > this only pertains to

the doc and it won't be quite as bad (but not fun) to

> pay the additional percentage for the doc.

>

> Dawn

Dawn, That is what I am hoping they will say because I knew that all

along. I just don't understand why the last minute letter (since I

was originally scheduled for 12/18/01) and why it has another claim

number than the first one and why it came from a different office of

Medical Mutual.

It just got me so upset and depressed and now I have to wait to find

out. Say a prayer for me that what you said is the case and that it

will work out. If I could call Dr. Hess' office today I would

because maybe they are used to getting letters like this from Med

Mutual, just like they were when I got the letter with the approval

for only 2 of the codes submitted.

Carole

(who has to pay almost 2 weeks unemployment out of 4 for COBRA)so I

get to try to live on 2 weeks unemployment.

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