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Old 07-21-2008, 07:40 AM
gettingby's Avatar
gettingby gettingby is offline
Senior Member
I am a: Type 1
 
Join Date: May 2004
Location: NC
Posts: 8,563
Should I appeal???

As some of you may know, I recently did a 3 day CGMS run. BCBSNC has denied my claim.
Reason for denial:
Request for coverage of 72-hour interstitial glucose monitoring is reviewed. Per Corporate Medical Policy BCBSNC will not provided coverage for continuous monitoring of glucose in the interstitial fluid. It is considered investigational and BCBSNC does not cover investigational services. Deny request for coverage as not medically necessary.

I honestly do not believe my endo would have suggested this to me if he had not thought it was medically necessary. The results he received from the monitoring is helping him to figure out why my A1C's have been staying high.
My question is this. Appeal or just let it go and pay the bill myself?
Thanks everyone for your opinions.
__________________


~Cin~

Mom always says I'm special. Hmmm........wonder what she means by that?? LOL.

The best and most beautiful things in the world cannot be seen or touched,they must be felt with the heart.
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