Guest guest Posted February 5, 2004 Report Share Posted February 5, 2004 The first letter he sent listed the surgery as needed to repair a skeletel malformation. But the insurance co still wanted more info on why, so the rest is backup. I'd have thought the first submission would get through alone, guess not. I'll talk to the OS people again and see if it can be classified as congenital if you think that might help. I kind of get the feeling that the insurance co is just trying to make this a real big hassle so I drop it. Not going to happen, though Thanks, > > Thanks for the info, . > > > > After having my HR department talk to my insurance people, I found > > that they wanted to know two things: > > > > 1) why it wasn't done sooner. Surgeon said we should be able to > > cover this one because I had to be done growing. And before > starting > > this I wanted to be absolutely sure. I'm 25 now, only been out of > > college for 1.5 yrs. Hopefully this will be enough. > > > > 2) Medical necessity. Surgeon said this should be covered dual- > fold > > by my inability to chew correctly and the pain that's been > developing > > in my jaw/face. Quote Link to comment Share on other sites More sharing options...
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