In my quest for information for my Insurance Appeal I have found the following:
http://www.kff.org/consumerguide/ http://www.healthinsuranceinfo.net/ http://www.naic.org/ (has links to each states ins. boards)... Hope this is helpful! |
Thanks John!
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My read on this is that you cannot use this appeal avenue if the denial is based on the procedure being classified as experimental. I think that seems to be the wording on most denials(it was on mine).
Steve |
UHC has been using "not a proven service" terminology.
From what I have read "experimental" is used because most of the companies have not changed the wording of their medical policies since before the FDA approved the Charite in Oct. I know UHC was using Experimental, then changed it to unproven...... I would appeal anyway, all they can do is say no....right??? |
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