Guest guest Posted October 14, 2000 Report Share Posted October 14, 2000 Way to go Sheila!!! Don't take that crap. I feel much the same way about my insurance co. Aetna. I will keep you posted on my delimna too. Spagner >From: ladytexan_sheila@... >Reply-To: duodenalswitchegroups >To: duodenalswitchegroups >Subject: W. gave me the best news! >Date: Sat, 14 Oct 2000 06:49:04 -0000 > >Hi everyone, > I just wanted to tell you that after a very disheartening phone >conversation with BCBS and listening to the woman tell me that it >wasn't in letter form yet but that it was her understanding that even >after considering my appeal that BCBS intended to " stand behind their >original denial " for my DS...the most amazing thing happened. I lost >my temper a bit and while I was still waiting for W. to confirm >which code she had approved by the same company...I gambled that it >was the 43847 code and it may have paid off. The ins. rep looked up >her surgical record and there it was that big beautiful 43847 code >staring her in the face.....she of course started stammering how >there must have been some special reason why got that code >approved etc. and I proceeded to say you cannot discriminate between >individuals who both have a policy that covers the surgical treatment >of morbid obesity. I told her that I would take it to court in a >heartbeat now that I had confirmed with her another party who had >been covered for this code. She said she would get back to me. This >has to work ya'll, it just has to...this is the gem I have been >unsuccessfully looking for such a long time. I had so many come >forward who had BCBS of MI but they all had the 43846 code which >couldn't help me... was the one.....the only one to date with my >ins. and the correct code. herself confirmed the coding this >evening. I owe her big time! Please keep me in your prayers. > >Thanks, >Sheila > > > > _________________________________________________________________________ Get Your Private, Free E-mail from MSN Hotmail at http://www.hotmail.com. Share information about yourself, create your own public profile at http://profiles.msn.com. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 14, 2000 Report Share Posted October 14, 2000 Sheila: You go!! Hey, and when you win and get switched, can you do a Texas-two step on MY insurance company? Hugs alot! Kathy P. Denied by Cigna but fighting on... W. gave me the best news! > Hi everyone, > I just wanted to tell you that after a very disheartening phone > conversation with BCBS and listening to the woman tell me that it > wasn't in letter form yet but that it was her understanding that even > after considering my appeal that BCBS intended to " stand behind their > original denial " for my DS...the most amazing thing happened. I lost > my temper a bit and while I was still waiting for W. to confirm > which code she had approved by the same company...I gambled that it > was the 43847 code and it may have paid off. The ins. rep looked up > her surgical record and there it was that big beautiful 43847 code > staring her in the face.....she of course started stammering how > there must have been some special reason why got that code > approved etc. and I proceeded to say you cannot discriminate between > individuals who both have a policy that covers the surgical treatment > of morbid obesity. I told her that I would take it to court in a > heartbeat now that I had confirmed with her another party who had > been covered for this code. She said she would get back to me. This > has to work ya'll, it just has to...this is the gem I have been > unsuccessfully looking for such a long time. I had so many come > forward who had BCBS of MI but they all had the 43846 code which > couldn't help me... was the one.....the only one to date with my > ins. and the correct code. herself confirmed the coding this > evening. I owe her big time! Please keep me in your prayers. > > Thanks, > Sheila > > > > > Quote Link to comment Share on other sites More sharing options...
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