Frequent Contributor (5K+ posts)
Member # 2022
Tim, I'd continue the fight on this one. Sometimes all it takes is for your claim to be processed by the wrong person and it gets screwed up.
Medicare is my secondary. My primary insurance frustrates me by some processor looks at my claim and sees I have Medicare. Ok lets make Medicare her primary, because almost always Medicare is primary. Deny claim. I have to call them and say now look again, Medicare is secondary. So this is something I fight several times a year.
I would think extreme headaches with no let up would be good enough to do SPECT. Don't pay it, appeal it.
Take care, Pam
-------------------- "Never, never, never, never, never give up" Winston Churchill Posts: 6397 | From Louisville, Ky | Registered: Jan 2002
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