piercedqt78 658 Posted June 15, 2005 As you may or may not remember I was denied with Highmark BCBS saying it was experimental. My wonderful (hopefully surgeon to be) did a peer to peer evaluation and it was again denied. The insurance company gave some out of date and totally bogus stats as to why it was not covered. My doctor gave accurate FDA stats and they refused to listen. (he was one of the FDA test doctors) He asked for an outside review and was told they would get back to him. I in the mean time called my husbands employer and Union and got them involved. That brings me to this morning, I get a call asking my why I got the union involved. It was Highmark BCBS, I gave them my entire story and she said she would arrange for an express appeal with a different review team. I gladly jumped on that. She faxed a letter to the surgeons office stating what she would need to get the appeal going and it was already faxed back to her this afternoon, got to love a surgical co-ordinator that is on the ball. So I need a quick prayer from everyone that is willing to send one that this time I might actually get approved. I will not be able to do financing as I had to give up my job this week so this may be my last hope to get this done. Thanks for listening~Mandy Share this post Link to post Share on other sites
Mystyblu 0 Posted June 15, 2005 Lots of good luck to you Mandy, I would have never thougth about getting the Union envolved but it did the trick. let us know what happens. Share this post Link to post Share on other sites
sandie1958 0 Posted June 15, 2005 good job . i am also a union member work with bellsouth. that is why we pay union dues. i bet you get a yesssssssssss good luck sandie Share this post Link to post Share on other sites
Iluvharleys 15 Posted June 15, 2005 Crossing my fingers for ya! Share this post Link to post Share on other sites
MZFAB50 0 Posted June 15, 2005 Saying a prayer for you. Share this post Link to post Share on other sites