Battling Insurance

[Guest guest]

Ok, Insurance has denied payment for treatment for Dave, saying it's

not medically necessary. Our dr. is going to write a letter for our

appeal, and I would like to add any kind of documentation that would

be beneficial, and appreciate any advice.

His titer & Western blot & PCR were all negative, but his Igenex LUAT

test was positive. However our insurance company doesn't recognize

the LUAT test (how convenient). Does anyone have any information I

can present to them (peer reviewed journal article references etc...)

that could help convince them that this is a legitimate, trustworthy

test?

How about documentation or references that supports Lyme as being

primarily a clinical diagnosis?

Any other advice for me?

I have calls into Igenex (they didn't think they could help but

finally put me through to an administrator's voice mail) and 2 other

previous doctors (one suspected lyme or another infectious disease &

encouraged us to pursue testing so I'm hoping he might be able to

corroberate this in some way, though he has no expertise in the area--

just a caring doc!, and the other I think has no lyme knowledge but

did extensive neuro-psychiatric testing on Dave & some of the results

point to lyme--it's probably a stretch but I'm going to see if he

will provide support for us in this, he also seemed to care at

least).

I'm sure this question has come up before & I'm trying to search the

archives for insurance information, but so far all I come up with is

general stuff & nothing specific. I will keep looking, but if anyone

can point me in the right direction, I would much appreciate it. I

so hate to stop treatment at this point, he's just finally making

progress!

Thank you all. Merry