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Unexpected medical bill claim denied by insurance? |
My wife had gestational diabetes during her pregnancy and her doctor refered her to a diabetic management institute. First, you must file all appeals with the insurance, and since you were not made aware of the charges, I would file a complaint with the Insurance Commissioner. same answer for all questions The policy holders employer choose the benefits recieved by the patient. Take it up with the employer. I know it is rotton, but sadly so. I have worked for both the Ins. comp. and the medical staff. you may need your doctor to write you a 'letter of medical necessity' so you can appeal the denial- you should have the doctors send an appeal and you should also send a written appeal to the insurance (the nastier you get the more likely you are to get some kind of attention from the insurance try stating that you were following your doctors order for your wife's safety and you feel that it is ridiculous that the service that the doctor felt was medically necessary is not covered)- if that doesn't work try appealing to the institute for a reduction of the bill stating that you don't have the money to pay with the new baby |
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