(no subject)
I received the denial of coverage letter from my insurance provider, Aetna.
Here's my favorite part of the letter:
"A Medical Policy Administration medical director, board certified in anesthesiology/pain managment has reviewed your request..."
Hold up, anesthesiology/pain managment? We're talking about diabetes here, not chronic pain! They might as well have had a podiatrist or OBGYN review my request! I wonder if I can appeal on the sole basis that my claim should have been reviewed by an endocrinologist/diabetes specialist? I mean, it only seems fitting that this so called Medical Policy Administration medical director person be somewhat knowledgeable, if not an expert in the endocrine system.
The following determination outlined in the letter was a clear cut and paste job. One section of the letter was clearly a leftover template guide which appears was accidentally not removed from the final revision of the letter, lol. Oops.
Tomorrow begins the appeal process...this should be fun =/
Here's my favorite part of the letter:
"A Medical Policy Administration medical director, board certified in anesthesiology/pain managment has reviewed your request..."
Hold up, anesthesiology/pain managment? We're talking about diabetes here, not chronic pain! They might as well have had a podiatrist or OBGYN review my request! I wonder if I can appeal on the sole basis that my claim should have been reviewed by an endocrinologist/diabetes specialist? I mean, it only seems fitting that this so called Medical Policy Administration medical director person be somewhat knowledgeable, if not an expert in the endocrine system.
The following determination outlined in the letter was a clear cut and paste job. One section of the letter was clearly a leftover template guide which appears was accidentally not removed from the final revision of the letter, lol. Oops.
Tomorrow begins the appeal process...this should be fun =/