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  #75 (permalink)  
Old 12-22-2007, 09:38 PM
jky400e jky400e is offline
Junior Member
I am a: Type 1
 
Join Date: Jul 2007
Location: kalamazoo mi
Posts: 17
Karen,
I started my quest in October of last year. At that time the approval process was different and it sounds as though you are using that old process for approval.

I did out of pocket and then went for approval. It was backwards but it did work.
Currently the process or it was a few months ago is it is in MM hands just about 100%. United Health Care is one of the few that approves.
At the time I upgraded my pump with the trade in process, one year before a new one. And that is this next month.

I had a coworker that i showed the cgms to and he was approved and on cgms in 45 days. Long before i was so i just had to complain more.

The prescription from the doctor downloaded from MM
MM starts the process with UHC. The preauthorize
MM Then requested a copy of patient notes from my doctor and then sends to the person at UHC processing it.
Which that took just about 30 days, I think they lost it also. They have to dig and they were able to find each time i called and what went with it.

It took a long time to get reimbursed but i did.

I spoke to one person at UHC that deals with MM daily for this process. More of it is in MM hands.

Joe
T1 30 years
Pumping 24 years
CGMS march 2007
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