Re: Help!!! UHC appeal on out of network issue.

December 8, 2004

I dident appeal only complain on the phone after they denied then it

went back for review.

Lorraine.

> Hi Lorraine. Is there anything you had to do to get that result?

Did you

> have to write a letter or appeal or anything? Thanks! Beth

>

> >From: " loloflordas " <lorrainesonn@g...>

> >Subject: Re: Help!!! UHC appeal on out of network issue.

> >Date: Wed, 08 Dec 2004 02:35:47 -0000

> >

> >UHC of Fl paid 100% even though we were out of network because they

> >dont have a Doc band in network and within 50 miles of our home as

> >per our Insurance contract.

> >Lorraine.

> >

> >--- In Plagiocephaly , " egmyrek " <egmyrek@h...>

wrote:

> > >

> > > Hi! Well, I knew it was too good to be true. UHC approved

> >Braden's

> > > DOC band immediately. However, they are now saying that they

will

> > > cover it on an out-of-network basis. That means that they will

pay

> > > $600.00 of the $3000.00 bill. Of course, there is nowhere in-

> > > network to get a DOC band, which is specifically what my

> > > pediatrician prescribed. Has anyone had any experience with an

> > > appeal on the out-of-network issue with United Healthcare? What

> > > about other insurance companies? I didn't see any documents in

the

> > > files directory on this issue. Any help would be greatly

> > > appreciated! Beth

> > >

> > > Beth in Charlotte, NC

> > > Mommy of Braden

> > > Plagio/brachy DOC band 10/8/04

> >

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