Guest guest Posted December 19, 2001 Report Share Posted December 19, 2001 , I'm shocked that they are still denying based on investigational!! Wasn't it you who said you couldn't get to Tim Littlefield's documents? I would still suggest trying to send him an email to his own email address and see if he can help you in some way to get to those documents. I am floored that they would use that excuse since the DOCband is FDA approved! I'm sorry - I wish I could help more, but I think you will have a good chance of winning at the review board as the DOCband is clearly not investigational. Good luck and let me know if I can help you get into contact with Tim Littlefield. Marci (Mom to ) Oklahoma Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 19, 2001 Report Share Posted December 19, 2001 Hi all- Of course we lost our first appeal to CIGNA HMO of NC. We expected to lose but it still stings coming at Christmas!! Boy do I miss that $3,000!!!! Anyway... They are still denying us on the basis that " it is investigational/ experimental and of unproven benefit and thus not covered under our policy. " What I need from anyone who can help is more medical studies stating this DOC band therapy is proven to get results and any case studies. The next level of appeal allows us to appear before a pannel of outside doctors ( not Cigna) and we need to be loaded with lots of medical info. Please, if anyone can help, email me! Thanks and have a good holiday. mom of Owen 4/2/01 banded 12/5/01 Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 19, 2001 Report Share Posted December 19, 2001 : I'm willing to bet that they will eventually cover this, becuz as we all stated before, the DOCband is anything but investigational. They're probably hoping that you'll just accept the denial and move on $3,000.00 poorer. Tim Littlefield will probably help you out again with the documents that will help in your next appeal. Good luck & keep up the fight. Debbie Abby's mom DOCGrad MI HAPPY HOLIDAYS! > Hi all- Of course we lost our first appeal to CIGNA HMO of NC. We > expected to lose but it still stings coming at Christmas!! Boy do I > miss that $3,000!!!! > > Anyway... They are still denying us on the basis that " it is > investigational/ experimental and of unproven benefit and thus not > covered under our policy. " > > What I need from anyone who can help is more medical studies stating > this DOC band therapy is proven to get results and any case studies. > The next level of appeal allows us to appear before a pannel of > outside doctors ( not Cigna) and we need to be loaded with lots of > medical info. Please, if anyone can help, email me! Thanks and have > a good holiday. > > > mom of Owen 4/2/01 banded 12/5/01 Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 19, 2001 Report Share Posted December 19, 2001 I am so frustrated with CIGNA. Thanks for the feedback. I am not sure who Tim Littlefield is. COuld you provide me with some more info. Thanks again! --- marcisch@... wrote: > , > > I'm shocked that they are still denying based on > investigational!! Wasn't it > you who said you couldn't get to Tim Littlefield's > documents? I would still > suggest trying to send him an email to his own email > address and see if he > can help you in some way to get to those documents. > I am floored that they > would use that excuse since the DOCband is FDA > approved! I'm sorry - I wish I > could help more, but I think you will have a good > chance of winning at the > review board as the DOCband is clearly not > investigational. > > Good luck and let me know if I can help you get into > contact with Tim > Littlefield. > > Marci (Mom to ) > Oklahoma > __________________________________________________ Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 20, 2001 Report Share Posted December 20, 2001 , I don't know what kinds of studies that you have used in your first appeal, but if you go to cranial tech's info center at their website, you might find some very valuable information. http://cranialtech.com/infocenter/infocent.htm There are a few documents that pertain to the FDA approval and the DOCband. Once a product has approval from the FDA, I think its no longer considered experimetal or investigational, but don't quote me on that. There is also a document that follows an 8 year investigation to prove the efficacy and stability of the DOCband. Tim Littlefield, as well as being the better looking identical twin , he is one the wonderful researchers that works for Cranial Technologies . He has done so much for so many of the parents here and always has tons of info. I'm telling you, as long as we have Tim Littlefield and here, we are in good hands! Niki Kaylie & Danny (STAR grads) Phila., PA > Hi all- Of course we lost our first appeal to CIGNA HMO of NC. We > expected to lose but it still stings coming at Christmas!! Boy do I > miss that $3,000!!!! > > Anyway... They are still denying us on the basis that " it is > investigational/ experimental and of unproven benefit and thus not > covered under our policy. " > > What I need from anyone who can help is more medical studies stating > this DOC band therapy is proven to get results and any case studies. > The next level of appeal allows us to appear before a pannel of > outside doctors ( not Cigna) and we need to be loaded with lots of > medical info. Please, if anyone can help, email me! Thanks and have > a good holiday. > > > mom of Owen 4/2/01 banded 12/5/01 Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 20, 2001 Report Share Posted December 20, 2001 Hey how frustrating for you! Have you asked the Band people for copies of studies or gone to their web site they have some info there but I think your best bet is to email Tim Littlefield he is sucha wonderful resource and has so much to offer. Please keep us posted on how you do andkeep sending them info until they are piled in paperwork. Did your neuro write a letter of medical necesity? Beck mom to brian Memphis Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 20, 2001 Report Share Posted December 20, 2001 Well-today was a day filled with phone calls and finding people to help us fight CIGNA. I called Tim Littlefield and he was extremely helpful. I also contacted the patients advocate group and they also agreed to help us. We got in touch with our nuero doc and they are sending us more medical documentation. Hopefully we can get them to go to our appeal #2 with us and that way the docs can talk directly to one another. Thanks for all the info you all have provided. Cross your fingers and I will keep you posted! --- bbbhand <bbbhand@...> wrote: > Hey how frustrating for you! Have you asked > the Band people > for copies of studies or gone to their web site they > have some info > there but I think your best bet is to email Tim > Littlefield he is > sucha wonderful resource and has so much to offer. > Please keep us > posted on how you do andkeep sending them info until > they are piled > in paperwork. Did your neuro write a letter of > medical necesity? > Beck mom to brian > Memphis > > __________________________________________________ Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 21, 2001 Report Share Posted December 21, 2001 , Glad to hear that you got in touch with Tim - he is such a helpful person. Good luck with your next appeal and I will keep my fingers crossed. Marci Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 21, 2001 Report Share Posted December 21, 2001 Good Luck sound slike youa re headed in the right direction. Keep up the good work-just what you need-more stuff to do at the holiday season! Our fingers are crossed. beck Quote Link to comment Share on other sites More sharing options...
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