Denied again

Two Thursdays ago as I was getting in bed, I got an email from my rep at my wheelchair company. He was emailing to let me know that my new insurance company had denied my claim. He hadn’t read the denial, but we needed to set up a peer-to-peer review with my doctor within 10 days. Call him the next day, he said.

The next day we called but he wasn’t available. He did have a colleague forward me the denial. They authorized the chair but said there’s no documentation behind standing so they denied the stander feature of the chair and its accessories.

The Tuesday after the three-day weekend, the rep called and encouraged us to set up the peer-to-peer review, so we called the insurer, who told us the provider had to set up the review. We called the rep back and finally texted my physical therapist, who suggested the standing feature and knows about my wheelchair needs.

On Wednesday, a funding specialist emailed from my wheelchair provider that my doctor had to set up the review. I emailed back to explain my PT was the better one to review my wheelchair needs and was told only my doctor can do reviews. I still hadn’t gotten an official copy of the denial yet, so we called the insurer to get more time. They had no record of the denial.

I got my copy today.

Wow, do I hate insurance.