Guest guest Posted January 17, 2000 Report Share Posted January 17, 2000 honey, I am praying for you!! I am sure you did a fantastic job with the appeal letter. Ral NC Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 17, 2000 Report Share Posted January 17, 2000 honey, I am praying for you!! I am sure you did a fantastic job with the appeal letter. Ral NC Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 17, 2000 Report Share Posted January 17, 2000 I was denied! Then I appealed and won. It took several months, but I did it. I have Partners of NC Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 17, 2000 Report Share Posted January 17, 2000 Hi guys, I was just woundering if anyone out there has had an exculsion in their insurance policy for payment for this surgery and then been denied and then appealed and won them over and got them to pay for the surgery???? Please anyone have much luck or I'm I fighting a lossing battle???? Thanks for the infor.Suzi Remley Asking for Prayers for Second Appeal >From: nancysh@... > >Hello Everyone, >I just FEDEX'd my second appeal (third request) to my insurance company & >Plan administrator in Little Rock, AR (I live in NC). The 2 packets are >about 2 inches thick each, about 150+ pages each! This time I even sent a >copy of the 'Patient Education Manual'.....if nothing else, this manual will >at least help to educate them of the process. > >I'm hoping & praying that this appeal documentation will help them decide to >'override' their 'exclusion clause' and pay for MGB with Dr. R. For if not, >I donot know what to do next. Any suggestions? Has anybody else had to get >an override to an 'exclusion clause' to get approval? > >I'm asking for prayers from everybody; that this time they will approve me >once and for all. Thank you everybody for your continued support. > > >Raleigh, NC > > > >--------------------------- Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 17, 2000 Report Share Posted January 17, 2000 Hi guys, I was just woundering if anyone out there has had an exculsion in their insurance policy for payment for this surgery and then been denied and then appealed and won them over and got them to pay for the surgery???? Please anyone have much luck or I'm I fighting a lossing battle???? Thanks for the infor.Suzi Remley Asking for Prayers for Second Appeal >From: nancysh@... > >Hello Everyone, >I just FEDEX'd my second appeal (third request) to my insurance company & >Plan administrator in Little Rock, AR (I live in NC). The 2 packets are >about 2 inches thick each, about 150+ pages each! This time I even sent a >copy of the 'Patient Education Manual'.....if nothing else, this manual will >at least help to educate them of the process. > >I'm hoping & praying that this appeal documentation will help them decide to >'override' their 'exclusion clause' and pay for MGB with Dr. R. For if not, >I donot know what to do next. Any suggestions? Has anybody else had to get >an override to an 'exclusion clause' to get approval? > >I'm asking for prayers from everybody; that this time they will approve me >once and for all. Thank you everybody for your continued support. > > >Raleigh, NC > > > >--------------------------- Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 17, 2000 Report Share Posted January 17, 2000 , Thank you for the vote of confidence (and esp. your prayers)! in Raleigh Re: Asking for Prayers for Second Appeal >From: Lolipop32@... > > honey, I am praying for you!! I am sure you did a fantastic job with >the appeal letter. > > Ral NC > >--------------------------- Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 18, 2000 Report Share Posted January 18, 2000 HI SUSAN I`M FRED FROM PITTSBORO I WAS DENIED BECAUSE OF EXCULISION, DEBBIE SENT A APPEAL LETTER AND I WAS APPROVER BY DEBBIE RECIVING A PHONE CALL FROM MY INSURANCE MED COST. DEBBIE WAS GIVEN A CONFORMATION NUMBER AND I HAD THE SURGERY ON 09-01-99. THE SURGERY WENT GREAT. I RECIVED A LETTER AFTER SURGERY THAT STATED THAT THE INSURANCE CO. NEVER APPOVED THE SURGERY. SO I AM IN THE PROSESS OF HIRING A LAWYER TO FIGHT THE INSURANCE CO. SO EVEN AFTER I WAS APPROVED THE INSURANCE CO. IS SAYING THEY WANT PAY FOR THE SURGERY. I DON`T HAVE THE MONEY TO PAY FOR THE SURGERY. SO I`M JUST LEFT OUT IN THE COOL. GOOD LUCK SUSAN AND YOU HAVE MY PRAYERS. FRED MARSH 314 PRE OPT 09-01-99 249 POST OPT 01-18-00 Asking for Prayers for Second Appeal >From: nancysh@... > >Hello Everyone, >I just FEDEX'd my second appeal (third request) to my insurance company & >Plan administrator in Little Rock, AR (I live in NC). The 2 packets are >about 2 inches thick each, about 150+ pages each! This time I even sent a >copy of the 'Patient Education Manual'.....if nothing else, this manual will >at least help to educate them of the process. > >I'm hoping & praying that this appeal documentation will help them decide to >'override' their 'exclusion clause' and pay for MGB with Dr. R. For if not, >I donot know what to do next. Any suggestions? Has anybody else had to get >an override to an 'exclusion clause' to get approval? > >I'm asking for prayers from everybody; that this time they will approve me >once and for all. Thank you everybody for your continued support. > > >Raleigh, NC > > > >--------------------------- Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 18, 2000 Report Share Posted January 18, 2000 Yeaaaaaaaaaaaaaaaaaaaaa!!! I am sooo happy for you. Love and blessings, Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 18, 2000 Report Share Posted January 18, 2000 Fred I am getting ready to sue to/ so keep me posted. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 18, 2000 Report Share Posted January 18, 2000 Fred I am getting ready to sue to/ so keep me posted. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 18, 2000 Report Share Posted January 18, 2000 What insurance policy? Pat Re: Asking for Prayers for Second Appeal HI SUSAN I`M FRED FROM PITTSBORO I WAS DENIED BECAUSE OF EXCULISION, DEBBIE SENT A APPEAL LETTER AND I WAS APPROVER BY DEBBIE RECIVING A PHONE CALL FROM MY INSURANCE MED COST. DEBBIE WAS GIVEN A CONFORMATION NUMBER AND I HAD THE SURGERY ON 09-01-99. THE SURGERY WENT GREAT. I RECIVED A LETTER AFTER SURGERY THAT STATED THAT THE INSURANCE CO. NEVER APPOVED THE SURGERY. SO I AM IN THE PROSESS OF HIRING A LAWYER TO FIGHT THE INSURANCE CO. SO EVEN AFTER I WAS APPROVED THE INSURANCE CO. IS SAYING THEY WANT PAY FOR THE SURGERY. I DON`T HAVE THE MONEY TO PAY FOR THE SURGERY. SO I`M JUST LEFT OUT IN THE COOL. GOOD LUCK SUSAN AND YOU HAVE MY PRAYERS. FRED MARSH 314 PRE OPT 09-01-99 249 POST OPT 01-18-00 Asking for Prayers for Second Appeal >From: nancysh@... > >Hello Everyone, >I just FEDEX'd my second appeal (third request) to my insurance company & >Plan administrator in Little Rock, AR (I live in NC). The 2 packets are >about 2 inches thick each, about 150+ pages each! This time I even sent a >copy of the 'Patient Education Manual'.....if nothing else, this manual will >at least help to educate them of the process. > >I'm hoping & praying that this appeal documentation will help them decide to >'override' their 'exclusion clause' and pay for MGB with Dr. R. For if not, >I donot know what to do next. Any suggestions? Has anybody else had to get >an override to an 'exclusion clause' to get approval? > >I'm asking for prayers from everybody; that this time they will approve me >once and for all. Thank you everybody for your continued support. > > >Raleigh, NC > > > >--------------------------- Quote Link to comment Share on other sites More sharing options...
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