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Hi, my insurance United Healthcare denied IVIG for my daughter recently diagnosed with Pandas. Our dr. had a peer to peer phone call with a United medical director and the denial was upheld citing IVIG as an "unproven therapy." I am appealing this further. I've done some research but want to prepare a solid and thorough rebuttal. Does anyone have advice on how to do this or do you have success stories for when these appeals worked? thank you in advance!
Guest posted a topic in PANS / PANDAS (Lyme included)My ivig was initially approved then cancelled last minute. The first appeal was denied. My neurologist and an RN are heading up everything, providing all the necessary documentation, writing the letters, and my neuro plans on having a peer to peer phone review. He provided all their research including latest studies. BUT 2 days ago I got a letter from insurance stating that they will not approve unless it's : PID or ITP - those are the ONLY 2 disorders they will approve for according to this letter. We will now have to work on 2nd appeal. Some lady from insurance said maybe I can tak