Re: Help. Insurance battle/needing document-HEATHER

[Guest guest]

> > Hello:

> >

> > I'm almost about to finish my appeal package. The only thing I

> still

> > need and I can't find is a study that shows the consecuences of

the

> > untretaed Plagiocephaly.

> > Can anybody send me some links if you have them?

> >

> > Thanks a lot.

> > Ufff!!!!!!!!!! This have being soooo time consuming...

> > By the way, if anybody need some info plese let me know. I have

> spent

> > so much time on this that it woul be worthy is anybody else can

> take

> > advantage of it

> >

> > Ivonne &

[Guest guest]

,

Sorry for the empty response before. Lets try this again.

If you go to Files and then to Insurance help you will find a wealth

of information to help you with your appeal. Does your child have

torticollis (sorry, I can't remember)? I had previouly read a court

case in North Carolina that stated that the childs Plagiocephaly was

directly related to her congenital torticollis and therefore is was

a medical condition, not a cosmetic one. Sorry, I can't remember

all the details, but you can view it at www.harp.org/bynum.htm.

I'm sure some members experienced in this will be able to provide

you with added assistance.

Good Luck,

Dianna

Mom to

DOC Band 9/13

plagio/brachy

Plagiocephaly , " heathercicione "

<heathercicione@y...> wrote:

> I am so happy to be reading this right now. I just received the

> phone call from my insurance company denying my claim saying

> it's " cosmetic " . I cannot believe they would even consider this

> cosmetic, yet I knew from the start that this could happen. I

should

> be receiving my appeal papers in a few days and ANY and ALL help

you

> can give me would be so great.

> Thank you SO much!!

> How old is your child by the way, and how long have you been

trying

> to get banded?

>

>

>

>

> > Hello:

> >

> > I'm almost about to finish my appeal package. The only thing I

> still

> > need and I can't find is a study that shows the consecuences of

the

> > untretaed Plagiocephaly.

> > Can anybody send me some links if you have them?

> >

> > Thanks a lot.

> > Ufff!!!!!!!!!! This have being soooo time consuming...

> > By the way, if anybody need some info plese let me know. I have

> spent

> > so much time on this that it woul be worthy is anybody else can

> take

> > advantage of it

> >

> > Ivonne &

[Guest guest]

:

I just send you to your personal e-mail my appeal letter.Only because I don't want to bother everybody else with an attachment but if somebody need it I can forward it.

It contains tons of very useful information

Also is right, in the files you can have a lot of information that will help you.

Good Luck!!!

Ivonne & (6 months)

Branchy/Plagio

Banded DOC Sep/22/04

Dallas, TX

Fightting appealing with UHC

,Sorry for the empty response before. Lets try this again.If you go to Files and then to Insurance help you will find a wealth of information to help you with your appeal. Does your child have torticollis (sorry, I can't remember)? I had previouly read a court case in North Carolina that stated that the childs Plagiocephaly was directly related to her congenital torticollis and therefore is was a medical condition, not a cosmetic one. Sorry, I can't remember all the details, but you can view it at www.harp.org/bynum.htm. I'm sure some members experienced in this will be able to provide you with added assistance. Good Luck,DiannaMom to DOC Band 9/13plagio/brachyPlagiocephaly , "heathercicione" <heathercicione@y...> wrote:> I am so happy

to be reading this right now. I just received the > phone call from my insurance company denying my claim saying > it's "cosmetic". I cannot believe they would even consider this > cosmetic, yet I knew from the start that this could happen. I should > be receiving my appeal papers in a few days and ANY and ALL help you > can give me would be so great. > Thank you SO much!!> How old is your child by the way, and how long have you been trying > to get banded?> > > > > > Hello:> > > > I'm almost about to finish my appeal package. The only thing I > still > > need and I can't find is a study that shows the consecuences of the > > untretaed Plagiocephaly.> > Can anybody send me some links if you have

them?> > > > Thanks a lot.> > Ufff!!!!!!!!!! This have being soooo time consuming...> > By the way, if anybody need some info plese let me know. I have > spent > > so much time on this that it woul be worthy is anybody else can > take > > advantage of it > > > > Ivonne & For more plagio info

[Guest guest]

I'm so late in reading this......thank you for replying. It's just

basic Plagio....nothing else. I'm so overwhelmed...I'm hoping to go

through all of Ivonne's links and appeal stuff. I think my case may

be alittle different than her's though. Thank you, any other links

would be greatly appreciated:)

> > > Hello:

> > >

> > > I'm almost about to finish my appeal package. The only thing I

> > still

> > > need and I can't find is a study that shows the consecuences of

> the

> > > untretaed Plagiocephaly.

> > > Can anybody send me some links if you have them?

> > >

> > > Thanks a lot.

> > > Ufff!!!!!!!!!! This have being soooo time consuming...

> > > By the way, if anybody need some info plese let me know. I have

> > spent

> > > so much time on this that it woul be worthy is anybody else can

> > take

> > > advantage of it

> > >

> > > Ivonne &

[Guest guest]

Hi :

I enclosed every document in hard copy although I put the URL at the end (in the cases I got the information form the internet).

In the particular case you are mentions, yes, I included a hard copy, I just seach it in the internet and I pinted it out.

You can find it in:

http://www.cga.state.ct.us/2003/act/Pa/2003PA-00037-R00SB-00001-PA.htm

Just copy the link and paste it on your browser.

I also enclosed:

Letter of Medical necesity from my doctor (plastic and craniofacial Surgery)

United health care denial letter

The plagiocephaly evaluaction from Children's Medical center od Dallas

FDA (food & drugs administration) report that shows that Cranial technologie has listed this device and registered their facility in accord with DFA regulations (this document was provided by cranial technologies).

The estimate from cranial technologie showing the cost of the device ($3000)

Copy of my insurance policy (provided by my human resource dept because UHC didn't want to provide it), showing that portion "What IT is covered under my plan"(Durable medical equipment) & what IT IS NOT covered under my plan.

Let me know if you need anything else.

Good luck!!!

Let us know how it goes. I'm still waitting for their responmse. I sent my appeal letter back on Sept 24 and they told me that it will tood 30 days. Let see...

Ivonne &

heathercicione <heathercicione@...> wrote:

Thank you so much for your appeal....It's been VERY useful! Just a quick question....Beside the appeal and the footnotes.... what other information did you send? I read something in your appeal "I have enclosed an example of recent state legislation, which indicates a trend toward requiring coverage......." Did you physically send in something?THANK YOU!!> > I am so happy to be reading this right now. I just received the > > phone call from my insurance company denying my claim saying > > it's "cosmetic". I cannot believe they would even consider this > > cosmetic, yet I knew from the start that this could happen. I > should > > be receiving my appeal papers in a few days and ANY and ALL help > you > > can give me would be so great. > > Thank you SO much!!> > How old is your child by the way, and how long have you been > trying > > to get banded?> > > > > > > > --- In Plagiocephaly , "Ivonne Chandler" > > <ivomalone@y...>

wrote:> > > Hello:> > > > > > I'm almost about to finish my appeal package. The only thing I > > still > > > need and I can't find is a study that shows the consecuences of > the > > > untretaed Plagiocephaly.> > > Can anybody send me some links if you have them?> > > > > > Thanks a lot.> > > Ufff!!!!!!!!!! This have being soooo time consuming...> > > By the way, if anybody need some info plese let me know. I have > > spent > > > so much time on this that it woul be worthy is anybody else can > > take > > > advantage of it > > > > > > Ivonne & > > > > For more plagio info