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Insurance denied claim/surgery cancelled Insurance denied claim/surgery cancelled

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Unread 11-09-2011, 01:31 PM
Re: Insurance denied claim/surgery cancelled

There have been others that I have read about going thru this too...

What most do not know is that most insurance companies have a patient advocate. They are there to be on the side of the patient for hospital complaints and insurance complaints.

Call your company to see if you have an advocate and then talk to them about this.

Submitting under a different code could also help..

Good luck and many hugs. I know this is hard but I always think things happen for a reason even if we can not see it at the time...

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Unread 11-09-2011, 06:39 PM
Re: Insurance denied claim/surgery cancelled

How awful! I'm so sorry you're going through this. It sounds like the Dr.'s office is getting everything in order.

Different but probably the same reason, my daughter has bad allergies and one time we were trying to get her a prescription for Allegra. I guess it's more expensive. The insurance company made her try all the over the counter drugs, then the cheaper prescription drugs and then finally approved her allegra.

It sounds like they want to know that you have exhausted cheaper treatments or that they have a reason for not being tried.

Since your dr. has probably already tried or ruled out other treatments they probably just need to send more info to the insurance co.

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