posted
I submitted a bill for Igenex lab to my insurance company. It was denied because Igenex is out of network. Have any of you had success appealing the denial? Since this is where my doctor wanted me to get the lab work done, does that mean anything? What should I do (or should I just let it rest?). I have an HMO, so out of network isn't covered at all. Are there typically ecceptions when the doctor wanted a specific lab?
Posts: 212 | From Pennsylvania, USA | Registered: Jul 2009
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sammy
Frequent Contributor (5K+ posts)
Member # 13952
posted
It wouldn't hurt to try appealing. See if your doctor is willing to write a letter for you, explaining why it was medically necessary for you to use Igenex instead of an in network lab.
Posts: 5237 | From here | Registered: Nov 2007
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posted
Yes, I would appeal and keep sending the bill to your insurance. I finally got mine to pay 9 months after the fact. I just hounded them to death!!!
-------------------- --Lymetutu-- Opinions, not medical advice! Posts: 96222 | From Texas | Registered: Feb 2001
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Leelee
Frequent Contributor (1K+ posts)
Member # 19112
posted
Insurance can be such a pain!
Not sure what advice to give you, except to file ASAP, keep copies of everything you have submitted and be persistent in calling and writing to them.
I have had much success in getting my out-of-network Igenex and LLMD visit claims partially reimbursed, but my sister has a different insurance company than me and she hasn't been at all successful.
-------------------- The ultimate measure of a man is not where he stands in moments of comfort and convenience, but where he stands at times of challenge and controversy. Martin Luther King,Jr Posts: 1573 | From Maryland | Registered: Feb 2009
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