Guest guest Posted February 22, 2004 Report Share Posted February 22, 2004 Hi , What was the reason they denied you for? Thanks, Tonia > > > Almost six months after Hannah was casted for her second helmet, > > we > > > got our reimburment check! BCBS took their sweet ol time as > > usual, > > > but we did eventually get it! Of course I think they should pay > > all > > > the credit card interest from the last six months, LOL, but I'd > > > rather pay that than the $3,000! If you're fighing your > > insurance, > > > be diligent--it's worth it! We were denied for both DOCbands and > > > have now been paid in full for both. Good luck! > > > , mom to Hannah, DOCgrad > > > Cape Cod, Ma Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 22, 2004 Report Share Posted February 22, 2004 , I have Companion in SC which is owned by BCBS. They ended up paying all but $20 for band #1. They are supposed to pay for all but $20 on #2 also. I haven't seen any money returned but I know Cranial Tech got the first $2980. I had to appeal. My company is self insured and Comapnion was using the wrong contract. Not sure if it's included in your contract. Why did they deny coverage? Maybe I can help. My appeal is listed in the insurance section under Contract Exclusion. mom to na DOC #1 10-27 to 11-26 DOC #2 12-10 to 2-20 SC > > > Almost six months after Hannah was casted for her second helmet, > > we > > > got our reimburment check! BCBS took their sweet ol time as > > usual, > > > but we did eventually get it! Of course I think they should pay > > all > > > the credit card interest from the last six months, LOL, but I'd > > > rather pay that than the $3,000! If you're fighing your > > insurance, > > > be diligent--it's worth it! We were denied for both DOCbands and > > > have now been paid in full for both. Good luck! > > > , mom to Hannah, DOCgrad > > > Cape Cod, Ma Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 22, 2004 Report Share Posted February 22, 2004 The first was denied b/c it was out of network (we have an HMO and chose to go out of state) and the second did not meet their medical technology assessment or something like that. The first was paid for much in part due to media coverage and my husband's employer (our ins carrier and a VERY large account for them!) putting pressure on them, and the second we fought on continuation of treatment. I would say to make yourself known to them and document everything. We called practically everyday, literally dozens and dozens of times and had the names of who we spoke to, fax receipts of stuff we sent, etc. The negative media attention is what finally got the ball rolling though. Good luck! , mom to Hannah, DOCgrad Cape Cod, Ma > > > Almost six months after Hannah was casted for her second helmet, > > we > > > got our reimburment check! BCBS took their sweet ol time as > > usual, > > > but we did eventually get it! Of course I think they should pay > > all > > > the credit card interest from the last six months, LOL, but I'd > > > rather pay that than the $3,000! If you're fighing your > > insurance, > > > be diligent--it's worth it! We were denied for both DOCbands and > > > have now been paid in full for both. Good luck! > > > , mom to Hannah, DOCgrad > > > Cape Cod, Ma Quote Link to comment Share on other sites More sharing options...
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