Fixit Posted April 30, 2010 Report Posted April 30, 2010 who has diagnonis "pandas" and who gave it someone said united health care is covering pandas diagnonis...... as far as i now there is no formal acknowlegement... i've spoken with Docs t and k and scott smith...has something changed recently????? are your docs just calling it pandas and you're just following the next logical step...
peglem Posted April 30, 2010 Report Posted April 30, 2010 who has diagnonis "pandas" and who gave it someone said united health care is covering pandas diagnonis...... as far as i now there is no formal acknowlegement... i've spoken with Docs t and k and scott smith...has something changed recently????? are your docs just calling it pandas and you're just following the next logical step... I don't think there is a diagnostic code for PANDAS (for insurance). So physicians who dx PANDAS code it under different dx codes- like autoimmune encephalitis. I seem to remember a Buster thread, that suggested different codes PANDAS would fall under. Let me see if I can find it.
peglem Posted April 30, 2010 Report Posted April 30, 2010 Here it is: http://www.latitudes.org/forums/index.php?...amp;#entry63463
Fixit Posted April 30, 2010 Author Report Posted April 30, 2010 didn't someone just today say that united health is covering pandas and ivig for it..... who has diagnonis "pandas" and who gave it someone said united health care is covering pandas diagnonis...... as far as i now there is no formal acknowlegement... i've spoken with Docs t and k and scott smith...has something changed recently????? are your docs just calling it pandas and you're just following the next logical step... I don't think there is a diagnostic code for PANDAS (for insurance). So physicians who dx PANDAS code it under different dx codes- like autoimmune encephalitis. I seem to remember a Buster thread, that suggested different codes PANDAS would fall under. Let me see if I can find it.
Fixit Posted April 30, 2010 Author Report Posted April 30, 2010 i found it ....suzan seems to have coverage!!!!!! that's awesome if that's the whole story http://www.latitudes.org/forums/index.php?...art=#entry64922 didn't someone just today say that united health is covering pandas and ivig for it.....
NancyD Posted April 30, 2010 Report Posted April 30, 2010 Harvard Pilgrim HealthCare covered IVIg for PANDAS 100% up until February. All of a sudden they changed their policy claiming insufficient data to support it. I'm appealing now and should have a good chance since they have been covering it for dd for 1 1/2 years and it has been highly successful for her. It really froths me! Nancy
Suzan Posted April 30, 2010 Report Posted April 30, 2010 (edited) It's true, UHC is covering it (suposedly) but let's not talk about it too much in case they retract it Susan Edited April 30, 2010 by Suzan
peglem Posted April 30, 2010 Report Posted April 30, 2010 It's true, UHC is covering it (suposedly) but let's not talk about it too much in case they retract it Susan Susan, do you know what code the doc is using for insurance billing?
Suzan Posted April 30, 2010 Report Posted April 30, 2010 It's true, UHC is covering it (suposedly) but let's not talk about it too much in case they retract it Susan Susan, do you know what code the doc is using for insurance billing? I don't but I will ask. We see him on Friday. Susan
Fixit Posted May 1, 2010 Author Report Posted May 1, 2010 It's true, UHC is covering it (suposedly) but let's not talk about it too much in case they retract it Susan Talk about what???
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