FYI NY Sate Insurance - United Healthcare

Marty

Description

Title:

FYI NY Sate Insurance - United Healthcare

Creator:

Marty

Date:

6/25/2013

Text:

> We have a denial on a replacement socket for transtibial (who's original prosthesis was paid as a K3 level), UH is stating that because he is diabetic they consider him a K2. This guy has returned to work as a car salesman, he drives with his prosthesis, walks on uneven terrain to show cars on his lot & gets in and out of cars all day.
> They say they follow Mcare guidelines my questions are: Does Mcare uses K levels in determining socket replacements? Since when does Mcare determine that a diabetic is automatically a is automatically a K2?

> Thanks
> Marty Mandelbaum CPO
>

                          

Citation

Marty, “FYI NY Sate Insurance - United Healthcare,” Digital Resource Foundation for Orthotics and Prosthetics, accessed November 2, 2024, https://library.drfop.org/items/show/235260.