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Date sent: Fri, 30 Jun 2000 02:26:33 -0700 Send reply to: Parkinson's Information Exchange Network <[log in to unmask]> From: davidmeigs <[log in to unmask]> Organization: Microsoft Corporation Subject: HMO insurance denied specialist. To: [log in to unmask] > Hi all, > > I just found out that my insurance co. denied me to see a > neuropsychologist. GRRRR. This referral was made about 1 1/2 weeks > ago. > > I think this may also be the case with seeing a movement disorder > specialist. I haven't heard a word, and its been at least a month > since the referral. > > Anyone out there have any ideas on how to "light a fire" under the > insurance company's B-hind? > > Is this just a game they play to try to get people to pay on their > own? I have had to pony up too many times in the past, even after the > referral was accepted (different co). > > Thanks, > David Meigs > You and your doctor need to send in a written demand for an "appeal" of the decision. They have to have it reviewed within a certain (short) timeframe and get back to you with a reason for denial. If you persist, they will usually back down. Do it now. Best, Bob ********************************************** Robert A. Fink, M. D., F.A.C.S., P. C. 2500 Milvia Street Suite 222 Berkeley, California 94704-2636 Telephone: 510-849-2555 FAX: 510-849-2557 WWW: http://www.dovecom.com/rafink/ mailto:[log in to unmask] "Ex Tristitia Virtus" *********************************************