Insurance denial-Please Help!

[Guest guest]

My son is now 8 & 1/2 months old and I just received

my second denial letter from United Health Care, this

one in response to my first appeal letter. My appeal

letter was a 12 page document which included

explanation of medical necessity, current standards of

care in treating plagio/brachy, AMA definitions of

deformities, disfigurement, and congenital defects,

and cosmetic vs. reconstructive, extensive research of

long term effects of untreated plagio, etc. I am so

upset and I don't know what else to do. I spent so

much time and energy in my first appeal letter and I

feel like my window of opportunity is slipping by.

Does anyone else have any suggestions for me? Should

I attempt a second appeal letter? If so, what else

can I include to convince them? The reason they gave

me for denial is plan exclusion based on the helmet

being an orthotic appliance that straightens or

re-shapes a body part. Thank you in advance for any

help. I am desperate.

Cincinnati, OH

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