Has anyone had this happen? They approved the first one but a week before we are to start the next one its denied. MDAnderson is working on the appeal through BCBS and I have to work on one through an IRO (independent review organization) but is this bizarre?
BCBS Second Transplant denied
Collapse
X
-
BCBS Second Transplant denied
Co-warrior
Dx Left I/O 2/08 100% pure seminoma
4-1-08 17fractions XRT 25.5 gy
9-4- 09 RELAPSE 4XBEP
12/09 01/10 3/10 All Clear, Fractured Pelvis
4-29-10 RELAPSE
5-11-10Partial Sacrectomy
5-19-10 1X Carbo, Cytoxan
5-23-10 15 fractions of XRT 25.5
6-14-10 Fractured Sacrum
8-10-10 1st Cycle HDC (clinical trial @ MDA)
10/8/10 REMISSION
11-30-10 2nd Cycle HDC
12/10- 9/12 ALL CLEAR
http://jasonejourney.blogspot.comTags: None
-
-
I think it's bizarre, but I'm a decent human being, not an insurance corporation. Patrick has BCBS--TX, and they never batted an eye at any of his treatments---however, he never did the transplant. Let me know if I can help, even if you just need a proofreader.Kat
sigpic_______________________________________________
Caregiver
DX 5/15/09
Left orchiectomy 5/22/09
60% embryonal, 40% seminoma, w/ VI, LI, T2 (CS-IB)
CTs clear, X-rays clear, blood markers normal
L-RPLND 7/14/09, San Antonio
3 nodes positive, 100% embryonal, N1 (PS-IIA)
2 rounds BEP August 24, 2009, Austin
Enlarged lymph nodes Oct 09, Dec 09, Jan 10, Apr 10
All clear 10/01/10
-
-
Oh Congrats on the all clear!!!!!!
I will definately take you up on the proofing. We have a dr. appt on Thursday so hopefully we will know more. We are just in a time crunch since J was in the hospital so long after the first round that we really need to get going on this one...grrrr! Good news is I finally got everything off for disability for him. One thing off the list 10 more added.Co-warrior
Dx Left I/O 2/08 100% pure seminoma
4-1-08 17fractions XRT 25.5 gy
9-4- 09 RELAPSE 4XBEP
12/09 01/10 3/10 All Clear, Fractured Pelvis
4-29-10 RELAPSE
5-11-10Partial Sacrectomy
5-19-10 1X Carbo, Cytoxan
5-23-10 15 fractions of XRT 25.5
6-14-10 Fractured Sacrum
8-10-10 1st Cycle HDC (clinical trial @ MDA)
10/8/10 REMISSION
11-30-10 2nd Cycle HDC
12/10- 9/12 ALL CLEAR
http://jasonejourney.blogspot.com
Comment
-
Comment