X   Site Message
(Message will auto close in 2 seconds)

Welcome Guest ( Log In | Register )

2 Pages V  < 1 2  
Reply to this topicStart new topic
> Anybody Here Have Experience With Medical Claim Appeals?
post Dec 22 2017, 06:36 PM
Post #21

Group: Lambo Owner
Posts: 788
Joined: 28-May 06
Member No.: 8,402

You see how dire healthcare is here? Carter can’t even afford his Zoloft prescription anymore.
Go to the top of the page
+Quote Post
post Feb 12 2018, 11:28 AM
Post #22

Group: Lambo Owner
Posts: 1,308
Joined: 30-November 11
From: Katy, TX
Member No.: 92,628

QUOTE (Tara @ Dec 19 2017, 11:00 AM) *
The 7 day monitor was denied by my insurance because it was found to be "not medically necessary" so I sent in an appeal with my whole situation and references to research papers showing 7 day monitors are more accurate in finding an issue than a 24 hour monitor. Denied again.

This news article just hit CNN about Aetna having a practice of denying claims without a doctor reviewing the medical records, apparently sparking an investigation by the California insurance commissioner.


Snippet: "This is potentially a huge, huge story and quite frankly may reshape how insurance functions," said Dr. Andrew Murphy, who, like Irani, is a renowned fellow of the American Academy of Allergy, Asthma and Immunology. He recently served on the academy's board of directors.

Not sure if you have aetna or not, but it reminded me of this thread.


2017 Porsche Turbo S
2015 BMW i8 (sold)
2011 UGR TT Performante (sold)
2007 Gallardo Spyder (sold)
Eiffel Tower (sold)
Several bridges (sold)
Go to the top of the page
+Quote Post
post Feb 12 2018, 01:09 PM
Post #23

Group Icon

Group: LPower VIP
Posts: 1,998
Joined: 28-September 04
From: NJ
Member No.: 90

The claim is through Anthem BCBS. I am still going through this. I sent a letter from my doctor and they withdrew it because they "didn't receive any letter". They said they need medical records. I asked if the insurance company can request them instead of me because I will be charged per page (it's ridiculous). The "claims analyst" calls me and says she called the doctor's office and they didn't return her call. I called the doctor's office, which is relatively small, who said they did not receive any requests regarding me. I spoke to the analyst bitch and after telling her they have no record of you calling, she says "I don't know what you want me to do they didn't send me anything. I can't do anything to help you." I was fuming. She has the I don't care about you attitude. I called the doctor's office again who agreed to call her directly and she if she would request it. The lady told the doctor's office "I have no record of calling the doctor's office requesting anything." I was ready to launch my phone into the wall when the doctor's office told me this. I wrote multiple messages through the insurance company's website messenger. I wrote everything that the "analyst" said so it was on record as much as it could be. I had an appointment with my other doctor who just printed everything for me in his office and I sent it in today.

Sorry that is not a well constructed paragraph and is long but I'm so frustrated with this whole ordeal.


Miss Lambo-Power

Instagram: taradise_k
Go to the top of the page
+Quote Post
post Feb 15 2018, 06:52 AM
Post #24

Group: Official LP Member
Posts: 9,185
Joined: 10-July 05
From: Fairfax, VA
Member No.: 3,902

I feel for you. I've been dealing with a fairly minor dental bill that the insurance company has still not paid from summer of 2016, Hope you get it sorted!


15 Toyota Tundra Platinum -7" BDS, FUEL wheels and 37s, Total Chaos UCAs, MBRP
67 Cadillac DeVille Coupe, custom, bagged, glass packs, white walls
66 Ford Mustang Coupe - Restomod PROJECT
05 Gallardo - 6 speed, Arancio Borealis, Tubi exhaust, SL wing, 560 bumper - SOLD
91 Diablo - 19/19" Work VS - SP Eng Intakes - Fabspeed - SOLD
Go to the top of the page
+Quote Post
Smurf Balls
post Feb 15 2018, 07:21 AM
Post #25

Group: Lambo Owner
Posts: 4,646
Joined: 26-March 07
From: EU Countryside / Bolivia
Member No.: 10,482

What a nightmare, wish you luck drunk.gif


A car and a horse have a lot in common. Time does not stop just because you have put them in their stall. They need the same care whether you use them or not.
Go to the top of the page
+Quote Post

2 Pages V  < 1 2
Reply to this topicStart new topic
2 User(s) are reading this topic (2 Guests and 0 Anonymous Users)
0 Members:


Lo-Fi Version Time is now: 25th June 2018 - 07:52 AM

> Our Sponsors

your alt tag