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orthopedic inserts
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<blockquote data-quote="bigblueagain" data-source="post: 4363" data-attributes="member: 909"><p>when I worked medical insurance precertification, most shoe inserts were not covered at all unless they are considered an extension of a brace, prosthetic, etc. That is because they are not always a "medical necessity" in that they are more a comfort measure that can be bought over the counter( ex" Scholl's etc). Now don't get all over me. But that is the way most old policies were written. You should call your insurance CS and ask what your benefit appeals process is. This is because you are not really looking at a medical necessity appeal, but a limited benefit appeal. I would ask them to ahve a like physician review your appeal however.( another orthopedist who has no financial gain from the insurer).BLUE</p></blockquote><p></p>
[QUOTE="bigblueagain, post: 4363, member: 909"] when I worked medical insurance precertification, most shoe inserts were not covered at all unless they are considered an extension of a brace, prosthetic, etc. That is because they are not always a "medical necessity" in that they are more a comfort measure that can be bought over the counter( ex" Scholl's etc). Now don't get all over me. But that is the way most old policies were written. You should call your insurance CS and ask what your benefit appeals process is. This is because you are not really looking at a medical necessity appeal, but a limited benefit appeal. I would ask them to ahve a like physician review your appeal however.( another orthopedist who has no financial gain from the insurer).BLUE [/QUOTE]
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