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Re: Surgery next --- now the insurance game
Posted: Tue Oct 12, 2010 2:25 am
by Quilter 2
A's Mommy;
Forgot something. What did you have to write to get the ins to pay for the Botox? I'm still working on the appeals and getting nowhere. I have United Health Care. The name is a joke.
Thanks for the help;
Doreen
Re: Surgery next --- now the insurance game
Posted: Tue Oct 12, 2010 4:42 am
by Celeste
Quilter 2 wrote:Hello to all;
Since I'm going to be needing this info in the near future, I need to understand what all these abbrevaions mean. Please tell me what PLP, FWIW and BTW means.
Sorry for my computer ignorance;
Doreen
Primary Care Provider
For What Its Worth
By The Way
Re: Surgery next --- now the insurance game
Posted: Tue Oct 12, 2010 1:50 pm
by A's Mommy
Doreen,
I had to write a letter of medical necessity (I did this and then my PCP's office put their name to it... since most docs truly do not know what PNE is) stating all the conservative treatments I have tried thus far... including all the doctors I saw, all the drugs I'd taken, and all the therapies/blocks/procedures that I'd had. I also sent in all pertinent dictated reports from all the physicians that I'd seen (this took a while, as I was calling them myself because I wanted it to get done faster).
Any other questions you might have, please PM me. Which approach will you be heading for--- TIR OR TG?
I hope you are having a low pain or pain free day!
Sincerely,
A's Mommy