Insurance investigating claims for test

[rea]

I am having an awful time out of my insurance. They are not wanting to pay for a nerve conduction test done by pain management and then I get another investigation letter from the test done by Popeney. From what his billing office told me only one person has had Humana pay their bill in the last five years. So I'm looking at about 3,000 to have to pay. Any advice?

[nyt]

All insurance companies have an appeal process so see what you need to do to appeal and see if the doctor will write a letter for the appeal. If you still get a denial with the appeal process contact the branch that oversees insurance in your State and file a letter of complaint. I know I had denial of nerve conduction studies when done by Dr. Conway and we wrote two appeal letters which were both denied. I wrote a letter of complaint to the state I live in explaining the medical reasons why the insurance should cover the tests. Less than two weeks after I wrote the letter of complaint to the state I received a call from my insurance company stating they were going to have a physician review my records. Once a physician reviewed my records they paid for the nerve conduction studies.

[rea]

Thank you so much for the information. I appreciate all the help.
Rea

[sajjad123]

Thank you for the article, Helen. I agree with you about how easy the medical community will diagnose patients with a psychosomatic disorders, simply because they don't understand the pathology. This paragraph from the article bothered me quite a bit:

DSM 5 must emphasize that physical symptoms deserve the respect of a thorough work-up before assuming their cause is psychiatric. And people with defined medical illnesses should not be casually mislabeled as also mentally ill just because they are upset about being sick