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Michigan BCBS (MI CHILD) first denial

Discussion in 'Insurance Issues' started by WestinsMom, Jun 22, 2008.

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  1. WestinsMom

    WestinsMom Approved members

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    I finally got a denial from BCBS after my second attempt for reimbursement. (I didn't know I had to use a special form) I almost missed it as I expected to see a letter stating the denial. Instead I caught it on my explanation of benefits. Reason: Not prescribed by doctor...:confused: That was easily remedied...I faxed them a copy of the prescription.

    Do you think it will be that easy or do you think there will be a new reason next? I did notice they had the billing code on there (these are 2007 receipts) so I know they know what it is.
     
  2. BrendaK

    BrendaK Neonatal Diabetes Registry

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    I'm sorry! What was their denial reason after they got the prescription?

    Have you started the process with Children's Special Health Care Services? I'm wondering what they will say???

    Good luck!!!
     
  3. WestinsMom

    WestinsMom Approved members

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    I haven't gotten another denial yet. I just faxed the script on Thursday :)

    I have tried talking to Children's but no one seems to be able to point me in any direction. I am going to start contacting state representatives and such when I get some time.
     
  4. jules12

    jules12 Approved members

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    Good Luck - there are several of us who have had it approved through various BCBS. Ours was finally approved after the 2nd level appeal on an individual basis!
     
  5. Abby-Dabby-Doo

    Abby-Dabby-Doo Approved members

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    Michelle~
    I've got my fingers crossed for you that's it's all they need for reimburesment!
    Good luck!
     
  6. jules12

    jules12 Approved members

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    Have you heard anything more?
     
  7. WestinsMom

    WestinsMom Approved members

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    No, I am watching my mail for another explanation of benefits or a check :)
     

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