Re: Anyone get BCBS of NC to pay more than $600?

November 21, 2006

That is very interesting. I have to dig my letters out again, but I

think (with small part of the brain that is left!) that I got a

letter saying that by state law or regulation in NC I had no right

to an external appeal because with BCBS NC it is a contractual

limitation (vs. a denial of benefits). In other words, we

contracted for insurance and BCBS paid what they said they would

(the puny $600) so the deal is over. I was using DOI loosely --

because we never even got there frankly. Is this making sense at

all? It seems BCBS NC's scheme is unique, or at least, I cannot

find another BCBS with a similar benefit.

> >

> > We got our check in the mail today for the measley $600 from

BCBS

> of NC. Our son has a

> > DOC band, which is $3000.

> > Has anyone gotten BCBS of NC to pay more than the $600? And what

> do you do to appeal?

> >

>

> Symborski

> Media Specialist

> stacy_holcombe@...

> A library is a hospital for the mind.

> Anonymous

>

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