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Insurance question: quick thoughts

Posted by SAS on May 06, 2002 at 11:17:59:

I had my first sleep study beginning of April -- no problem, my internist set it up, insurance paid, i paid a small co-pay.

I got the results directly from the sleep lab, as did the internist. Dx'd with severe apnea, I went ahead and scheduled the second titration.

The internist faxed the two sleep reports to the insurance company, and the dme is scheduled to deliver equipment tomorrow.

AT THE SAME TIME -- Saturday, I got a letter from the insurance co telling me they were not paying the 2nd study as they did not receive a "letter of medical necessity" or copies of the sleep studies. Apparently (after speaking with them), sending it in to get the equipment was not the same as sending it in to get the sleep study paid for.

I called the sleep lab, they said they don't handle sending in the letter of medical necessity.

Is the only way out of this to bug my internist again? It is very annoying, because why should she have to write the letter to get the insurance company to pay the sleep lab?

i am sooo frustrated with the insurance company, don't even ask me what they told me about the speech therapy I have been trying to get paid for my son since September!!!

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