Hello dear Reddit buddies,
I recently am encountering an issue with my insurance company. My insurance company denied one of my medical services (81229) for the reason they think its an experimental. I checked out with them for a detailed reason, they said the Dx O28.0 my OB provided is not a covered Dx.
But I checked out my insurance that procedure 81229 is 100% covered by my insurance plan, Also, this procedure was suggested to do by my OB because I failed my NIPT test (no cell result for 2 times). My OB suggested that test failure is associated with an increased risk of aneuploidy, providing additional genetic counseling, and offering comprehensive ultrasound evaluation and diagnostic testing. So my OB sent me to do amniocentesis and sent my sample to a lab to do the analytics tests.
What should I do to deal with this issue?? I don’t know which one is the right Dx that can be covered and I think my provider submitted this Dx is based on her professional medical experience which I don’t think can be changed easily.
Advice needed, please. Thanks to all of you.
submitted by /u/New-Anything-4694
[link] [comments]Hello dear Reddit buddies, I recently am encountering an issue with my insurance company. My insurance company denied one of my medical services (81229) for the reason they think its an experimental. I checked out with them for a detailed reason, they said the Dx O28.0 my OB provided is not a covered Dx. But I checked out my insurance that procedure 81229 is 100% covered by my insurance plan, Also, this procedure was suggested to do by my OB because I failed my NIPT test (no cell result for 2 times). My OB suggested that test failure is associated with an increased risk of aneuploidy, providing additional genetic counseling, and offering comprehensive ultrasound evaluation and diagnostic testing. So my OB sent me to do amniocentesis and sent my sample to a lab to do the analytics tests. What should I do to deal with this issue?? I don’t know which one is the right Dx that can be covered and I think my provider submitted this Dx is based on her professional medical experience which I don’t think can be changed easily. Advice needed, please. Thanks to all of you. submitted by /u/New-Anything-4694 [link] [comments]Read Morer/HealthInsurance