Re: Denied My H1AC




"Nick Cramer" <n_cramerSPAM@xxxxxxxxxxx> wrote in message
news:20100430031235.033$Zg@xxxxxxxxxxxxxxxxx
BessieBee <BessieBee@xxxxxxxxxxxxxxx> wrote:
starwars <nonscrivetemi@xxxxxxxxxxxxxxxxxxxxxx> wrote:

Gee, you get the booby prize for being the only one to even attempt to
answer my question. Guess the others suffering from diabetic
encephalopathy? They did not give a reason, but they want me to give my
reason as to why I think they should not deny it. That's ok what goes
around comes around.

Sorry to chime in late here...

You were denied because your insurance company picked your claim out
of hundreds received to arbitrarily deny it for no apparent or logical
reason.

While I thought starwars expected an answer to a question that wasn't
asked
with enough information for a meaningful answer, I find your reply to be
utterly worthless! My insurance company has questioned some of my claims.
If I could provide substantiating data from the provider or Medicare,
within about three months, they approved it, otherwise, they denied it.
That's happened once or twice in the last 12 years.

I once had a chest X-Ray denied because it wasn't warranted. And I'll agree
on that one! The Dr. (who is no longer my Dr.) asked me if I'd ever had
one? I hadn't. So he sent me for one. For no reason! But last winter
when I had pneumonia for weeks on end, followed by bronchitis, they did
cover the X-Rays.

My dental insurance has also denied claims because something wasn't billed
right. A phone call straightened that out.

And then there are the other goof ups. Anything in the hospital is a mess
for me because I have Medicare for hospitalization only. That means a stay
in the hospital but not ER or outpatient stuff. So if they bill it wrong,
not only will Medicare deny it, but my insurance will too.

More recently they denied some sort of thing from my Endospcopy done in the
hospital because they billed some insurance that I don't even have! But it
did have military in the name.

As I said before... The only way to know for sure is to call them.


.



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