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Insurance provider data base
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04/22/2005 23:42
darris

not registered

04/22/2005 23:42
darris

not registered

Insurance provider data base

How about we establish a database here of all of us that have had NA in the US and include the name of our health insurance providers and whether it was covered. That way, those of us who might be having problems getting the procedure covered won't have to start from scratch providing info. If we can find someone with the same ins. coverage who has been successful in getting coverage, it should make it much easier.

I've been a chicken and decided to wait until after the procedure to tackle my insurance company. It's HealthNet PPO and they turn down routine things for no reason at all-- mainly, I think, because they've found that lots of their clients don't protest. Anyone successful getting payment for NA fr

04/22/2005 23:29
Mr. Fish

not registered

04/22/2005 23:29
Mr. Fish

not registered

NA -payment by insurance companies

Dr. Eaton did NA on my bent little finger. He charged $700 plus the charge for the night splint. My insurance (Blue Cross) paid $300 so I was out of pocket $400. A great bargain I would say. I will go back to Dr. Eaton as soon as I need NA again.

04/23/2005 23:35
Steve Abrams

not registered

04/23/2005 23:35
Steve Abrams

not registered

insurance

Darris -

I suggest that you request coverage for the procedure now, before you have it done, even if you are certain they will turn it down. Otherwise, when and if you make an appeal, they can turn it down simply for the reason that you did not seek prior approval.

Steve

04/24/2005 23:52
darris

not registered

04/24/2005 23:52
darris

not registered

prior approval

I have a PPO and I do not need prior approval for procedures except for MRIs and a few other complex tests.

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