Re: Hi, new and need help

[Guest guest]

, if waiting on the insurance authorization is going to

compromise the amount of correction your child can get with the band,

then you really need to think about how you want to approach it. If

you do go ahead with it before ins pays, you might be able to

appeal. make sure you know whether or not they will deny it because

it wasn't preauth'ed before you go ahead. But if they WILL deny it

for that reason, then you need to think about whether you want to

wait if it's going to take a long time for approval, especially at

your child's age.

Becky

, repo grad

> > > >

> > > > 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

> >

>