IrishMom Posted January 10, 2019 Report Share Posted January 10, 2019 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! Link to comment Share on other sites More sharing options...
dasu Posted January 10, 2019 Report Share Posted January 10, 2019 We fought UHC for months before their final external review also stated it was unproven. They play a lot of games, inject errors to obfuscate, and invent new processes and rules as they go. Put bluntly I despise that company for its unethical and immoral conduct. I tried, on recommendation, a twitter campaign which did nothing. I have also heard that if it gets coded as Autoimmune encephalitis it gets a warmer reception. I wish you better results than we had! Link to comment Share on other sites More sharing options...
Recommended Posts
Create an account or sign in to comment
You need to be a member in order to leave a comment
Create an account
Sign up for a new account in our community. It's easy!
Register a new accountSign in
Already have an account? Sign in here.
Sign In Now