My wife recently gave birth a baby girl. During the pregnancy she had gestational diabetes. her doctor refered her to have extra care to some diabetic management co. I called up my insurance and the operator on the other end said we are covered. Now I got a bill of $1552 which says It was not covered. How do I make sure I can get the coverage ?
2007-12-17 17:37:18 · 5 answers · asked by abul31 1 in Business & Finance ➔ Insurance
You're going to have to appeal the denial, based on whatever reason they say it's not covered. And include supporting evidence with the appeal.
2007-12-18 01:22:11 · answer #1 · answered by Anonymous 7 · 1⤊ 0⤋
I'd venture that someone in claims is misreading the claim submitted, and thinks that your wife's diabetes is somehow a pre-existing condition and is not covered. That should NOT be the case with gestational diabetes. Either re-submit your claim, or speak to someone in charge in claims, or both.
2007-12-18 00:10:02 · answer #2 · answered by acermill 7 · 0⤊ 0⤋
Notify the diabetic management and the OB/GYN office. Both should have their own billing people and need to talk to each other. I believe that kind of coverage is standard.
2007-12-17 18:08:26 · answer #3 · answered by ralph 2 · 0⤊ 0⤋
Resubmit the bill. You may have to submit it a few times.
2007-12-17 19:27:18 · answer #4 · answered by Ronda B 6 · 0⤊ 0⤋
As an insurance broker, I have only one piece of advice.
Get a lawyer.
2007-12-18 17:58:00 · answer #5 · answered by Anonymous · 0⤊ 0⤋