Friday, January 25, 2008

Update on bed

The latest is just as confusing to when we started. Basically what it boils down to is the he said she said game. The Medical company did get an approval from the insurance, they cant order the bed without it. BUT it was a verbal not a letter of approval so the company should have never ordered the bed! But the insurance should have never said they approved it and then deny it. Then then insurance says they don't think it is being used for "Medical Purposes" they think when she has seizures she goes paralyzed.....What? Anyhow the insurance said they requested medical files on Cameran which they never received guess the Medical Company overlooked that! Also the MC(medical company) is dealing with a middle man who they relay stuff to and then they got to our insurance...Its all kinds of confusing. So now the city is looking into the "Middle Man".
Our insurance says we can have our Neuro call and talk with their physician to maybe work this out...MAYBE! BUT a biggy is that currently Cami isn't having seizures.....Will the insurance be able to overlook that...probably not even though the bed was for last year when she was having them.

We got a bill from the MC yesterday for the bed. If the call to the Neuro doesn't work I guess they will just have to come and get the bed. It just feels so overwhelming right now. Don't really know what to do. I want to fight them on this and file an appeal but I just don't have it in me right now. I have enough to deal with Cami soon starting school. Then what happens if this takes a long time and we don't a make a payment it makes our credit go bad. Or if we do make payments till its settled and then we have to fight for the reimbursement of the payments. UGgghhhhhh!

1 comment:

JSmith5780 said...

Even though she isn't "actively" seizing, shouldn't her delays still qualify her.? She doesn't understand dangers, etc. Can you work from that angle??