Re: Independent Medical Review

[Guest guest]

I want to do an independent review in Georgia. UHC has already

switched their denial reason on me from " orthotics exclusion "

(even though they funded our first band) to " failure to contact care

coordination " (even though care coordination was contacted).

Their HMO maze is one of the most infuriating bureaucracies

that I have ever dealt with. I am a public school teacher so I

must go through the State Health Benefit Plan. So far, I haven't

found the right person at SHBP to talk to re: independent review.

Even though it's on their website, several employees have told

me, " we don't do that here. " I am writing my senator (chair of the

insurance committee), again, because he did respond to my first

letter. Good luck, Martha!

in Atlanta

-- In Plagiocephaly , martha huff <

kcgrown@y...> wrote:

>

> I have UHC too. My daughter Graduated in 08 of 04. The state

recieved a letter, after going completly through the system of

UHC, and then some, stating that this independent review board

was an option. I am of course sceptical of UHC and if it is even

an option. The state is waiting to hear back as to weather UHC

is now dening due to not medically necessary or experimental,

because if I can go to an indepandent review than it must fall

under one of these two. Of course they are going to have to say

it is one or the other, which so far it has not been either. What

was your letter to the independent review addressing? any help

is appreciated.

> Thank you,

>

> Martha

> DOC Band Grad

>

>

> rmanias <manias@c...> wrote:

> It depends on the policies of your state. Here in Ohio it's all

done

> on paper. I just wrote a letter and mailed it along with copies

of

> everything. Then the insurance company sends their

information.

> I wasn't impressed with our Department of Insurance. They

denied me

> before the deadline to submit everything! By that point I was

too

> tired to dealing with it to fight. I really should have sued UHC.

> This was over 3 years ago so I don't know how things are

currently.

>

> Mom to Dane 4 yo (DOC Grad) and Cece 11 mo (DOC baby)

>

>

>

>

>

> For more plagio info

[Guest guest]

I want to do an independent review in Georgia. UHC has already

switched their denial reason on me from " orthotics exclusion "

(even though they funded our first band) to " failure to contact care

coordination " (even though care coordination was contacted).

Their HMO maze is one of the most infuriating bureaucracies

that I have ever dealt with. I am a public school teacher so I

must go through the State Health Benefit Plan. So far, I haven't

found the right person at SHBP to talk to re: independent review.

Even though it's on their website, several employees have told

me, " we don't do that here. " I am writing my senator (chair of the

insurance committee), again, because he did respond to my first

letter. Good luck, Martha!

in Atlanta

-- In Plagiocephaly , martha huff <

kcgrown@y...> wrote:

>

> I have UHC too. My daughter Graduated in 08 of 04. The state

recieved a letter, after going completly through the system of

UHC, and then some, stating that this independent review board

was an option. I am of course sceptical of UHC and if it is even

an option. The state is waiting to hear back as to weather UHC

is now dening due to not medically necessary or experimental,

because if I can go to an indepandent review than it must fall

under one of these two. Of course they are going to have to say

it is one or the other, which so far it has not been either. What

was your letter to the independent review addressing? any help

is appreciated.

> Thank you,

>

> Martha

> DOC Band Grad

>

>

> rmanias <manias@c...> wrote:

> It depends on the policies of your state. Here in Ohio it's all

done

> on paper. I just wrote a letter and mailed it along with copies

of

> everything. Then the insurance company sends their

information.

> I wasn't impressed with our Department of Insurance. They

denied me

> before the deadline to submit everything! By that point I was

too

> tired to dealing with it to fight. I really should have sued UHC.

> This was over 3 years ago so I don't know how things are

currently.

>

> Mom to Dane 4 yo (DOC Grad) and Cece 11 mo (DOC baby)

>

>

>

>

>

> For more plagio info