Guest guest Posted June 9, 2004 Report Share Posted June 9, 2004 Jill, Also, Check out this site www.cappskids.org they have a section that has appeal letters under each reason for denial. Do all the research you can and use that in your appeal letter check other insurance websites to see if they have coverage for the bands and use that in your letter that other major insurance companies are paying. you can also go through your employer for help the human resource department can sometimes help you fight they have a relationship with some of the insurance reps directly. Whatever you do don't give up the fight that is what the insurance company's want you to do after your 1st denial and most people do.......through this site see if you can find someone that BCBS paid for and ask them if you can use their name and get all the info you can from them it will help if you have to go the discrimination route and at least scare the insurance company. These insurance companies are so unfair.......GOOD LUCK (DOC band grad " 03 " Dallas) > > > > Hey there! > > > > Well, we finally received our denial letter from BCBS TX. > > > > Geesh...took them long enough! I have already started our > appeal > > > > letter. Thanks to all the information in the files and links > > > section > > > > plus the CT appeal packet, I hope to make a pretty good case. > > They > > > > denied it because they view the treatment as > > > > investigational/experimental. I called them to get a further > > > > explaination. It appears that they would cover it if he had > > > surgery, > > > > but view it as cosmetic since he did not. Give me a break!! > > > > > > > > Well, I will give a quick update on . He has been doing > > > great > > > > in his DOC band. We have already seen quite a bit of progress. > > He > > > has > > > > had 2 adjustments already and at both quite a bit was shaved > off > > > to > > > > allow for more growth. Our next appt is next Monday. This has > > been > > > > such a positive experience, (well, other than the insurance > > issue) > > > > I am so glad we did it! I added a couple of pics to 's > > > folder > > > > last week. It is under Matt C. > > > > > > > > Thanks for all of your support---This board has been such a > > > blessing > > > > to me. I have learned so much from what I have read here. > > > > > > > > Jill and (7 mos, DOC 5/20) > > > > Dallas Quote Link to comment Share on other sites More sharing options...
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