Re: UHC Orthotic Exclusion-Sec G (Denial)

[Guest guest]

,

Does the Explanation of Benefits pay the Band as Durable Medical

Equipment or an orthotic?

When we were denied by UHC 3.5 years ago we were told they don't

consider it to be DME. I did find a couple moms in other states whose

claims were coded DME rather than orthotic. I was told by UHC that I

needed to get a copy of someone's EOB to prove this discrepancy. I

couldn't get anyone to send me their EOB for fear they would be asked

for the money back.

My mom's cousin is actually a doctor for UHC in Phoenix who approves

(errr denies) claims. I always wondered if her hand was in this

cookie jar.

Good luck!

Mom to Dane (DOC Grad 02) and Cece DOC 9/05