Blue Cross battle.

Slaket wrote:Fight with Blue Cross
About to have a procedure conducted that is not in their holy book of reimbursement..
This is for a pensioned condition and I have a local surgeon stating that this is my best avenue..
Any buddy battle with them before?
Any luck or advice as this is gonna cost me about 10,000..

Thanks

How to Appeal a Health Care Decision

• The decision letter (or your explanation of benefits document) each provides an address for you to submit a request for a first level review.

• Your request must be made in writing within 60 days from the date the decision is made, unless circumstances beyond your control require an extension.

• The decision letter will indicate the address to submit a request for a second level review.

• If you are not satisfied with the outcome of your first level review, you may submit a request for a second level review within 60 days of the receipt of the first level review decision, unless circumstances beyond your control require an extension.