Guest guest Posted October 1, 2004 Report Share Posted October 1, 2004 I have not posted a message in a very long time, but I had to share that after a year and a half of fighting and appeals that we won! Our insurance company, Capital Blue Cross, in Pennsylvania finally agreed to pay for our sons DOC band that he received in May of 2003. We went through 3 appeals and finally an external appeal where they spent 4 hours reviewing all of the documents and information I had submitted. The recommendation was to pay the claim...wahoo! My advice to anyone fighting the insurance company is to not give up! I wanted to just quit so many times, but I knew we were right and just getting the run-around from the insurance company. I still have copies of my appeals, so if anyone is looking for information, please feel free to email me at kltolbert@... This is truly a great day! Thanks for everyone's support over the past 18 months...we couldn't have made it without you! Mom to Josh (22 months) and Mandy (8 weeks) Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 1, 2004 Report Share Posted October 1, 2004 That is wonderful news! Would you mind posting your information in our insurance database so if another parent has the same insurance they will know what to expect? Thanks! Natasha > I have not posted a message in a very long time, but I had to share > that after a year and a half of fighting and appeals that we won! > Our insurance company, Capital Blue Cross, in Pennsylvania finally > agreed to pay for our sons DOC band that he received in May of > 2003. We went through 3 appeals and finally an external appeal > where they spent 4 hours reviewing all of the documents and > information I had submitted. The recommendation was to pay the > claim...wahoo! My advice to anyone fighting the insurance company > is to not give up! I wanted to just quit so many times, but I knew > we were right and just getting the run-around from the insurance > company. I still have copies of my appeals, so if anyone is looking > for information, please feel free to email me at kltolbert@c... > This is truly a great day! > > Thanks for everyone's support over the past 18 months...we couldn't > have made it without you! > > > > Mom to Josh (22 months) and Mandy (8 weeks) Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 1, 2004 Report Share Posted October 1, 2004 High-Five and a HUG!! Congratulations. mom to S., CA -Optic Nerve Hypoplasia -Central Hypotonia -Toricillis (mostly resolved) -Brachy/Plagio soon to be DOCbanded. > I have not posted a message in a very long time, but I had to share > that after a year and a half of fighting and appeals that we won! > Our insurance company, Capital Blue Cross, in Pennsylvania finally > agreed to pay for our sons DOC band that he received in May of > 2003. We went through 3 appeals and finally an external appeal > where they spent 4 hours reviewing all of the documents and > information I had submitted. The recommendation was to pay the > claim...wahoo! My advice to anyone fighting the insurance company > is to not give up! I wanted to just quit so many times, but I knew > we were right and just getting the run-around from the insurance > company. I still have copies of my appeals, so if anyone is looking > for information, please feel free to email me at kltolbert@c... > This is truly a great day! > > Thanks for everyone's support over the past 18 months...we couldn't > have made it without you! > > > > Mom to Josh (22 months) and Mandy (8 weeks) Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 1, 2004 Report Share Posted October 1, 2004 , I'm so glad that you FINALLY won. That is terrific news. However, I think it's completely absurd that it took 1 1/2 years. Congratulations on sticking with it. Take Care, Dianna Mom to DOC Band 9/13 plagio/brachy In Plagiocephaly , " momtojoshandmandy " <kltolbert@c...> wrote: > I have not posted a message in a very long time, but I had to share > that after a year and a half of fighting and appeals that we won! > Our insurance company, Capital Blue Cross, in Pennsylvania finally > agreed to pay for our sons DOC band that he received in May of > 2003. We went through 3 appeals and finally an external appeal > where they spent 4 hours reviewing all of the documents and > information I had submitted. The recommendation was to pay the > claim...wahoo! My advice to anyone fighting the insurance company > is to not give up! I wanted to just quit so many times, but I knew > we were right and just getting the run-around from the insurance > company. I still have copies of my appeals, so if anyone is looking > for information, please feel free to email me at kltolbert@c... > This is truly a great day! > > Thanks for everyone's support over the past 18 months...we couldn't > have made it without you! > > > > Mom to Josh (22 months) and Mandy (8 weeks) Quote Link to comment Share on other sites More sharing options...
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