Anyone know what the 1st step is for fighting insurance? We are needing a 2nd surgery and it's out-of-network and out of state. Also anyonee have Laurie the Insurance Warrior's contact info?
insurance help
Anyone know what the 1st step is for fighting insurance? We are needing a 2nd surgery and it's out-of-network and out of state. Also anyonee have Laurie the Insurance Warrior's contact info?
Jenni mommy to 3 wonderful kiddos
Katelynn, Trent, and my cranio kid
Layne 10/21/08 Saggital(born) and Metopic(developed)
Pi procedure 02/20/2009,
Surgery #2 Total CVR Feb 16th, 2011
uh-oh here we go again....
laurie@theinsurancewarrior.com
I think the first step is to actually get the denial in writing. Then you would move on to step 1 in the appeals process. Get a copy of your insurance companies appeal process ASAP.
Heather
Nicholas - born 3/4/09. Sagittal Synostosis. Posterior CVR 9/15/09 with Dr. Fearon and Dr. Sacco - Medical City Dallas.
http://www.caringbridge.org/visit/NicholasNezich
http://www.onetruemedia.com/shared?p...3242&skin_id=0
Laurie is amazing!! Best of luck!
Amanda
Mom to 3 boys
Hayden - 1/8/05 - no cranio
Mason - 3/15/07 - no cranio
Sawyer - 9/15/09 - diagnosed as trigonocephaly secondary to metopic craniosynostosis 2/12/10
Surgery 7/16/10 with Dr. Fearon & Dr. Sacco at Medical City Hospital in Dallas, TX.
Loving life on the other side!!
Jenni-
My very best advice is to hire Laurie immediately. I wish I had known about her before surgery- I would have saved myself a year of stress worry and many late nights writing my own appeal which took me six months to complete. To my knowledge Laurie has won every appeal she has written (four so far for Dr Fearon and fifty or so for other docs/specialties) so although it is not cheap to hire her I believe it will be well worth it. Good luck and keep us posted. Do you have a date of surgery yet?
Kristin, Momma of two rambunctious cuties:
Lucy born 3/05 "failure to thrive"- negative percentile on growth chart for weight 3/06 to 3/08
Xander born 3/08 Left Lambdoid Synostosis and Chiari Malformation- Posterior CVR Surgery 2/09 w/ Dr Fearon and Dr Sacco at Medical City Hospital Dallas, TX (fought insurance and won in network gap exception) rant rant rant....
I'm still wondering why she didn't take Oneplustwin's case.
Mom to Noah (no cranio)
Fiona (Metopic):
Surgery #1 CVR/FOA 9-26-07 (age 10 months) Sick kids in Toronto with Dr. Phillips (PS) Dr Kulkarni (NS)
Surgery #2 Cyst removed over left eye 9/08 Dr. Phillips (PS)
Surgery #3 Cranioplasty 10-18-11 (almost 5 years old) for soft spots filled in with titanium plates/peek implant from bone resorption and scar revision. Dr. Phillips
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