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Need medical reason for dental surgery
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<blockquote data-quote="Andy" data-source="post: 165301" data-attributes="member: 5096"><p>Ask your dentist to write a letter of appeal. Include everything regarding why his ADHD and sensory problems make it impossible to do any work chair side.</p><p> </p><p>The dentist can include his records that I would hope includes behavior issues while at the dentist and his recommendation for surgery. If you can get the second dentists' opinion in writing to include, that would also help.</p><p> </p><p>You can include your own appeal letter stating symptoms being exhibited that have lead you to test for aspergers/autism. State that he is in the process of being diagnosed for this.</p><p> </p><p>The dentist also gets an EOB (explanation of benefits). Contact them to see if they have started the appeal process.</p><p>Maybe the dentist never got the approval info to the hospital which just had to bill without it?</p><p> </p><p>When I worked for a dentist that did surgeries, we would postpone any surgery that an approval didn't get done. The hospital asked for ALL paperwork to be sent a few days before surgery (no consent, surgery cancelled - no physical, surgery cancelled, ect.)</p><p> </p><p>1st contact your dentist office, they may already have taken care of it?</p></blockquote><p></p>
[QUOTE="Andy, post: 165301, member: 5096"] Ask your dentist to write a letter of appeal. Include everything regarding why his ADHD and sensory problems make it impossible to do any work chair side. The dentist can include his records that I would hope includes behavior issues while at the dentist and his recommendation for surgery. If you can get the second dentists' opinion in writing to include, that would also help. You can include your own appeal letter stating symptoms being exhibited that have lead you to test for aspergers/autism. State that he is in the process of being diagnosed for this. The dentist also gets an EOB (explanation of benefits). Contact them to see if they have started the appeal process. Maybe the dentist never got the approval info to the hospital which just had to bill without it? When I worked for a dentist that did surgeries, we would postpone any surgery that an approval didn't get done. The hospital asked for ALL paperwork to be sent a few days before surgery (no consent, surgery cancelled - no physical, surgery cancelled, ect.) 1st contact your dentist office, they may already have taken care of it? [/QUOTE]
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Need medical reason for dental surgery
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