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2nd Appeal - attend or not

Discussion in 'Insurance Issues' started by jules12, Apr 30, 2008.

  1. jules12

    jules12 Approved members

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    I got a letter from BCBS and they are having a meeting on May 12 to review my second appeal for cgms - I have a choice of being there in person, on phone, not at all or sending someone. Does anyone have any advice or thoughts?

    They also said I was allowed to send in other documentation if needed.

    I am not sure what to do now.....
     
    Last edited: Apr 30, 2008
  2. OSUMom

    OSUMom Approved members

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    I'm bumping this up for you. Is it convenient for you to go (local)?
     
  3. vettechmomof2

    vettechmomof2 Approved members

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    I personally would want to be there if I had an option. With an endo or nurse from their staff would be great.
    Good luck,
    Allene
     
  4. WestinsMom

    WestinsMom Approved members

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    I think it would be harder to tell you no to your face. :)
     
  5. vettechmomof2

    vettechmomof2 Approved members

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    How did the meeting go???
     
  6. jules12

    jules12 Approved members

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    They moved the meeting to May 27 - so nothing to report yet....
     
  7. vettechmomof2

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    keeping good thoughts for you.
    Allene
     
  8. moco89

    moco89 Approved members

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    It is in your best interest to be present for the meeting (either in person or on the phone) just to be able to make a better case against their initial denial. No presence at the meeting could demonstrate a lack of interest in the device itself. Don't give them any potential excuse to deny the cgms. You need to use every advantage possible to get your approval, so show up. I recommend you record the meeting too, just for your record, in case they deny the cgms again. You can make a case against them on your next appeal, just based on what they said.

    Good Luck
     
  9. jules12

    jules12 Approved members

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    We Won!!!!

    Our 2nd level appeal was overturned and we have now been approved for cgms. I am both excited and nervous because now I have yet another thing to learn!!!!!!!!

    HUGE Thanks to Paige's Dad!!!!!
     
    Last edited: May 28, 2008
  10. WestinsMom

    WestinsMom Approved members

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    Yeah!!!! :)
     
  11. vettechmomof2

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    Great news.:D
    We are still fighting.:mad:
    Allene
     
  12. THE LARA'S

    THE LARA'S Approved members

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    Glad it worked out...


    Josh
     

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