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clayverde

LAP-BAND Patients
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Status Updates posted by clayverde

  1. Hi - I wonder even about the $18. And I just checked again with the Tricare Fraud division and was told that the clinic had adjusted my account to show a $0 balance and that all was taken care of. So.... I guess Tricare talked to them and they backed off. But it does make me wonder how many other Tricare people on here are paying for things they shouldn't!! I saw a few different military people saying they paid quite a bit for nutritionist appointments!! I hope that my post helps a few - thanks for the comment!!

    Claire

  2. Hey!! So good to hear from you! I'm glad that the stuff I put up was a help, if for nothing else than getting your spirits up a little bit. I have no idea about the appeal process, but I do think that you have a pretty strong argument on a few different points. You'll have even more ammo if the sleep study comes back with sleep apnea. But regardless, I think if you fight hard you might just get an approval - if for no other reason then they want you to leave them alone! I have done lots of things like this for other reasons (landlord issues, etc.) and the more informed you are, the more calm you can stay, and the more you just keep at it, you can often end up successful. Many times they just expect you to drop it and go away. But when you don't, you become an expensive distraction! Anyway, I really wish you a lot of luck! If you need any help at all, let me know. I used to be a paralegal (before children and before working for lawyers!!) and while I know nothing about this law and couldn't help you there even if I did, what I CAN do is make things sound very professional, wade through lots of legal and medical mumbo jumbo, and finally I can do kick-ass research. So really, do not hesitate to ask - I like to do this sort of thing. I'm a stay at home mom now and while I love it, it is nice to stretch my brain sometimes!!!! KEEP FIGHTING!

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