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Insurance denial...
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<blockquote data-quote="Ma Kettle" data-source="post: 484326" data-attributes="member: 13066"><p>Hi ksm-I saw your post awhile ago, but wasn't where I could respond. So I had some time tonight and wanted to reply. Sorry it took so long!</p><p></p><p>First off, you have to jump through their hoops. It hoovers, I know. But, I have some advice for after you have gotten the school testing and submitted the appeal. It is a pain, and takes time away from you, but you have to follow up with them every day. Call daily to check up on the denial. Keep track of who/what/when/where you talked to them. Have the HR person through whoever's work your insurance is through call daily, asking for an update (make sure you are with them for the first call so you can tell the insurance company that they can talk to the HR person about your claim-this is due to HIPAA). Have the neuropsychologist doctor/office call daily/often explaining why the test is necessary and asking when they can make an approved testing date. Keep all written correspondence to/from insurance company. Go higher up the ladder as needed/possible. The squeaky wheel gets the grease.</p><p></p><p>I have seen this work countless times in my place of employment. Don't want to say much more about that, but I do have a story that I can share where this worked.</p><p></p><p>My neighbor's daughter had size GG breasts at the age of 13. Poor girl had to go physical therapy, as they were hurting her back. When she was 17 her doctor requested a breast reduction. Insurance denied it as cosmetic surgery. The mom/HR/Dr. office/Physical therapist did all the above. The mom also mailed a package to the insurance company. Inside the package where two bags, filled with rocks that made each bag weigh as much as each breast. They finally got the reduction approved.</p><p></p><p>Here's hoping it all works out. Just wanted to share what I have seen/heard and done. Good luck to you!</p><p></p><p>Ma Kettle</p></blockquote><p></p>
[QUOTE="Ma Kettle, post: 484326, member: 13066"] Hi ksm-I saw your post awhile ago, but wasn't where I could respond. So I had some time tonight and wanted to reply. Sorry it took so long! First off, you have to jump through their hoops. It hoovers, I know. But, I have some advice for after you have gotten the school testing and submitted the appeal. It is a pain, and takes time away from you, but you have to follow up with them every day. Call daily to check up on the denial. Keep track of who/what/when/where you talked to them. Have the HR person through whoever's work your insurance is through call daily, asking for an update (make sure you are with them for the first call so you can tell the insurance company that they can talk to the HR person about your claim-this is due to HIPAA). Have the neuropsychologist doctor/office call daily/often explaining why the test is necessary and asking when they can make an approved testing date. Keep all written correspondence to/from insurance company. Go higher up the ladder as needed/possible. The squeaky wheel gets the grease. I have seen this work countless times in my place of employment. Don't want to say much more about that, but I do have a story that I can share where this worked. My neighbor's daughter had size GG breasts at the age of 13. Poor girl had to go physical therapy, as they were hurting her back. When she was 17 her doctor requested a breast reduction. Insurance denied it as cosmetic surgery. The mom/HR/Dr. office/Physical therapist did all the above. The mom also mailed a package to the insurance company. Inside the package where two bags, filled with rocks that made each bag weigh as much as each breast. They finally got the reduction approved. Here's hoping it all works out. Just wanted to share what I have seen/heard and done. Good luck to you! Ma Kettle [/QUOTE]
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