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time to battle with insurance company
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<blockquote data-quote="ksm" data-source="post: 455685" data-attributes="member: 12511"><p>J was supposed to have already had her two hours of psychological testing done two weeks ago... it was postponed as they were still waiting on Cenpatico (the company that decides what the insurance company should pay for). We were rescheduled for Tuesday next week - so I call the office to see if it was still on and if they had had approval and they had sent a denial letter. If we do the testing, we will have to pay for it.</p><p></p><p>Two days ago, we saw family doctor and he said he would refer us to the neuropsychologist (listed in the Cenpatico handbook) so I am sure they will be denying that too. I called our insurance company and started the appeals process. Right now, I have just left a voice mail for the person, but at least I got a name and extension number.</p><p></p><p>Their reasoning is: psychological testing is not necessary for ADD/ADHD. Duh. I know that. What about the rages? the meltdowns? the hiding in closets? the hiding under the bed? the thoughts of hurting herself or others? the bipolar biomom? the year in foster care? the alcohol and drugs that were used thruheavily during the first two trimesters? the separation from her older brother when he was placed elsewhere? </p><p></p><p>WHy can't things be easy? Why do you have to fight tooth and nail for the benefits your child should receive? Time to warrior up. KSM</p></blockquote><p></p>
[QUOTE="ksm, post: 455685, member: 12511"] J was supposed to have already had her two hours of psychological testing done two weeks ago... it was postponed as they were still waiting on Cenpatico (the company that decides what the insurance company should pay for). We were rescheduled for Tuesday next week - so I call the office to see if it was still on and if they had had approval and they had sent a denial letter. If we do the testing, we will have to pay for it. Two days ago, we saw family doctor and he said he would refer us to the neuropsychologist (listed in the Cenpatico handbook) so I am sure they will be denying that too. I called our insurance company and started the appeals process. Right now, I have just left a voice mail for the person, but at least I got a name and extension number. Their reasoning is: psychological testing is not necessary for ADD/ADHD. Duh. I know that. What about the rages? the meltdowns? the hiding in closets? the hiding under the bed? the thoughts of hurting herself or others? the bipolar biomom? the year in foster care? the alcohol and drugs that were used thruheavily during the first two trimesters? the separation from her older brother when he was placed elsewhere? WHy can't things be easy? Why do you have to fight tooth and nail for the benefits your child should receive? Time to warrior up. KSM [/QUOTE]
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