Insurance and appeal letters

Papoose79
on 4/16/09 7:06 am - Horn Lake, MS
Hello everyone I know I am jumping ahead but I would like to know what would go in the letter to appeal a procedure? I have been approved before but have never made it past the physic eval. I would like to go to my first appointment with my letter in hand to add to everything else so that in the event that I am denied I will already have that on file, better than that so that I won't be denied.
Also, I know that my insurance (Pacificare POS HMO, San Diego, CA) has said that it depends on what my doctor says. Well I know my doctor and I have talked this out over the last 6-8 years so he knows what's up with me and weight loss. I have always made sure that I went to the doctor everytime I tried a new diet. But anyways I just wanted to hear from people that have had experience in this regards.
abuddingrose
on 4/17/09 1:34 am - Essex, MD
There are many free websites out there that can help you with what your appeals letter should contain.  I don't have the links accessable right now but if you use the words insurnace appeals I am sure you will get some insite.

Hope this helps

Lori
never settle for less than you deserve and you deserve only the best.                            
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