bbjnay

Send Message

Block

Add Friend

No miracle for me. Received my denial letter today. I did win the denial that the procedure was not a covered procedure by they denied me this time on not medically necessary.  I didn't have documentation to back up my medical complaints. At least I have the guide lines to follow, I wonder why they were not mad available to me earlier?

Well the hearings over and I did alright but my gut tells me I did not swqy the committee.  I gave it my best shot.  I'm not as depressed as I thought I would be.  They will give me an answer in 5 days.  I'm sure the denial letter was already typed and just waiting to be mailed.  Dissappointed....YES.....end of the world....NO.  I will just have to concentrate on what the next steps are.

I am freaking out.  Tonights the big presentation.  I wonder if there will be 10 people staring at me like the last time. The Doc they have scheduled is probably a GP and doesn't know squat about plastic surgery. My presentation will probably take all of 10 minutes.

When I get home I want to practice my presentation. I really dread having to do this.  I don't do well speaking in front of a group of people.  I just pray I don't make a fool of myself.  I have to brace my Maxi-Me so that it will stand up straight.  The cardboard is weak at the folds and it's Pauls mission is to fix it while I'm at work.

I got my presentation spreadsheets pasted on poster board last night.  I have been trying to go over what I want to say on each item.  When I get home I have to paste my Maxie-me picture (life size) on the piece of cardboard I bought.  I feel sick at the thought of having to do this, especially when it will be for nought.

One minute I am optimistice about winning and the next I am depressed because I know it will not sway them.  The insurance just called...I don't have 30 days from when they received my 2nd appeal...I only have 15 days, so tht means I have to have my appeal next Tuesday, the 30th at 6PM.  I'm really nervious now.

I am still waiting for the insurance company to schedule my appeal hearing.  Still working on my presentation.  I'm ticked at my husband, he's waiting for me to go through the process and if I win he will get a free ride to his TT.  The least he could do is help me win this battle but he is just sitting back and letting me deal with the whole process by myself......GRRRRRRRR

I was not able to actually schedule my appeal hearingm, all I was able to do was say I preferred it mid October and at 9:15. She said it depended on the outside physician they arrange for's schedule.  I really have my work cut out for me the next couple of weeks getting ready for the presentation.

I received a letter stating they received my request for an appeal hearing.  Now i have to call and get that scheduled.  I will be busy trying to figure out how I am going to make a conviencing presentation.

I am still waiting for the insurance company to deny my second appeal and schedule the appeal hearing.  They don't give the third denial until after the appeal hearing.  What they do is send a letter stating that  your second appeal did not contain new information but it is my right to appeal to an appeal hearing committee. They have a quack doctor on the committee so that they can say they met the requirment of the medical professional representation.  What a joke