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Appealing HMO decision

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Hello,

I posted on here several months ago that I was going to talk to my

doctor about further treatment for my achalasia. I had two dilations

done about 10 years ago that were mildly successful in that I can eat

with much difficulty. However the symptoms seem to be getting worse

lately.

So, I was referred to a specialist and he recommended a myotomy with

the fundo... (stomach wrapping thingy). To make a long story short, my

HMO has denied the surgery as being medically uneccessary. They then

denied the appeal that my doctor made. I have one more shot at

appealing with an outside agency, and was wondering if anyone here has

had any experience with this type of appeal and could offer me some

suggestions, citations, etc.

Thank you in advance and God Bless everyone here.

Geoff Brewster (geoff@...)

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