Guest guest Posted January 16, 2007 Report Share Posted January 16, 2007 Hi , be careful to follow your ins. company's procedures. sometimes if you just go ahead and pay they will deny because it wasn't pre-authorized. it might work better to get denied first, then get the band so you can appeal the denial then get reimbursed later. good luck with it. -christine mom to sydney/ 12.5 mo/ starband grad 10-06 > > > > > > Hi all, > > > > > > My name is Pearce. My son Connor just turned 1, 9.5 months > > > adjusted age. He was diagnosed with palgiocephally in July. We have > > > been fighting with our insurance company since than to cover the > > > starband. On October 31 it was denied stating it was not a medical > > > necessity. When I called to ask about it I was told that it's > > because > > > the doctor who did the review said he did not understand what the > > head > > > measurements meant. They said that they needed written documentation > > > on how the measurements were taken. I also made the mistake of > > telling > > > the orthotist that we would be moving by Dec. 15. They told me to > > > wait and restart the process up there as the fee includes the > > > remolding. Well, we are still here and no longer have a buyer on > > our > > > house. My ped was supposed to appeal, emailed him yesterday to see > > > where that is at. Is there anything else I can do? Can I appeal > > > myself? Any help is greatly appreciated. Also, my son has > > > torticollis, which we think is how he developed the flat head. He > > has > > > an EI eval next week. I was going to see if there is a way for them > > to > > > help pay for it. Has anyone tried that? > > > > > > Pearce > > > > > > > > > > > > > -- > Pearce > Quote Link to comment Share on other sites More sharing options...
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