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Search: Posts Made By: Romakis
Forum: Insurance Hell 07-18-2016, 09:01 AM
Replies: 17
Views: 17,387
Posted By Romakis
Anither Appeal

Thanks, but what else could I possibly add to the paperwork? I already submitted over 50 pages. I have no idea what else to add to it...
Forum: Insurance Hell 05-06-2016, 01:31 PM
Replies: 17
Views: 17,387
Posted By Romakis
janky fusion

Makes me so angry that the system makes us chose not the best options... I hope you heal well...
Forum: Insurance Hell 05-05-2016, 08:08 AM
Replies: 17
Views: 17,387
Posted By Romakis
Appeal is also denied

As I expected, the appeal was denied as well by Optima Health. They stated that it was not "medically necessary", and that discectomy should have been used instead :jacks:.

I guess I should...
Forum: Insurance Hell 02-17-2016, 01:32 PM
Replies: 17
Views: 17,387
Posted By Romakis
My appeal package

Sending the documentation today. Thank you all who helped me put it together (Jerry, Andi, thank you so much!!!).

Had a hard time finding an envelope to fit all the paperwork......
Forum: Insurance Hell 12-17-2015, 09:05 AM
Replies: 17
Views: 17,387
Posted By Romakis
I called my insurance yesterday, and after 30...

I called my insurance yesterday, and after 30 minutes of run around they gave me a name of the doctor who accessed my claim and made denial recommendation. I googled this doctor's name and this is...
Forum: Insurance Hell 12-16-2015, 04:21 PM
Replies: 17
Views: 17,387
Posted By Romakis
Help

If anyone has any documentation to help me file an appeal, I would highly appreciate it. Please let me know and I will give you my e-mail address. Thank you all in advance!
Forum: Insurance Hell 12-16-2015, 09:38 AM
Replies: 17
Views: 17,387
Posted By Romakis
Appeal

Yes, I am going to try to appeal. Thanks Harrison.
Forum: Insurance Hell 12-14-2015, 08:08 AM
Replies: 17
Views: 17,387
Posted By Romakis
Optima - Denied

Just got the letter back from my insurance company: Denied.

Denial codes: "D84F - Not medically necessary per Medical Director - Member responsible."

"The requested service is...
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