Insurance denial-Read this!

[Guest guest]

I asked for a verbal review on the denial for Hannah's DOC band. I

called the Critical Inquiry Dept. today and talked to a lady there

who told me that Humana (our insurance company)does not pay for any

DOC band after 1998 unless following surgery. I told her that I know

for a fact that they have paid for at least 2 bands at 100 percent in

2000 and 2001. She told me I would have to prove that by giving her

the names of the person. I told her I would not, due to the

protection of that person. She said that house bill 335 protects

them.....it states that they can not rescend on a paid claim for any

reason. I think it is all a scam. She has to have record of all

paid claims after 1998 but she wants me to give her names. I told

her I was willing to hire an attorney or get media attention on this

matter. Her response was: it will only HURT your efforts to get

this paid. Can you believe this. So, now I have to find anyone who

has Humana and has gotten them to pay after 1998. I called RDA where

we got Hannah's band and they said they had a child whos band was

paid by Humana just a couple of months ago. They could not release

there names but I asked them to please contact them and see if I

could turn in their name as a paid claim. I am about to pull my hair

out over this mess. I hope everyone else is having a better time

with the insurance companies.

Is there anyone out there who has Humana and gotten them to pay after

1998 for their childs DOC band? Any help would be appreciated more

than you know.

Stacey