Blue cross
David Gerecke
Description
Collection
Title:
Blue cross
Creator:
David Gerecke
Date:
3/31/2003
Text:
Thank you for the many replies. Here is a summary. Please remember to
disable your auto reply feature so as not to fill our inboxes with off-topic
responses when you are out of the office, on vacation, etc.
David
Yes we have had luck with BC/BS.
Yes in Minnesota, No in North Dakota
Yes they paid for the first one we billed for.
How about a partial yes. After telling us that the C-leg was approved, we
provided the device. Upon billing BCBS, we were told that they wouldn't pay
what they had previously pre-approved and cut the bill by $30K.
Blue Cross of CT YES
Yes, I have had them pay for them but Must document and justify the medical
necessity NOT functional benefits.
Yes Be sure you submit good justification.
Yes they have, in February of this year.
In Michigan, yes.
No they have not. We tried to get it authorized on 2 different occasions
and they declined. If you have any luck, please let us know.
we are still fighting, but to answer your question no in NY.
Well I do know that Otto Bock will not furnish the parts to you until you
have a pre authorization from Blue Cross or any Insurance company for that
matter....
No
disable your auto reply feature so as not to fill our inboxes with off-topic
responses when you are out of the office, on vacation, etc.
David
Yes we have had luck with BC/BS.
Yes in Minnesota, No in North Dakota
Yes they paid for the first one we billed for.
How about a partial yes. After telling us that the C-leg was approved, we
provided the device. Upon billing BCBS, we were told that they wouldn't pay
what they had previously pre-approved and cut the bill by $30K.
Blue Cross of CT YES
Yes, I have had them pay for them but Must document and justify the medical
necessity NOT functional benefits.
Yes Be sure you submit good justification.
Yes they have, in February of this year.
In Michigan, yes.
No they have not. We tried to get it authorized on 2 different occasions
and they declined. If you have any luck, please let us know.
we are still fighting, but to answer your question no in NY.
Well I do know that Otto Bock will not furnish the parts to you until you
have a pre authorization from Blue Cross or any Insurance company for that
matter....
No
Citation
David Gerecke, “Blue cross,” Digital Resource Foundation for Orthotics and Prosthetics, accessed November 2, 2024, https://library.drfop.org/items/show/220793.
