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Provider Claim Appealreconsideration Form RightCare Scott

Provider Claim Appealreconsideration Form RightCare Scott

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(gentle music) - My name is Veronica. I was diagnosed with Crohn's disease in 2006. I had hospitalization worthy pain and kept collapsing in school. Found out it was Crohn's disease and I've lived with that ever since. I was prescribed a biologic medication and the higher dose was hopefully to get my disease under control. I found out the treatment was denied from a letter that was mailed to my house from the insurance company saying that they weren't going to cover it and I had to go through a rigorous process of proving why I needed this medication, proving my diagnoses, being told that your doctor doesn't know what's best for you the insurance company does. So it was really difficult because I was completely powerless and I had to go through the appeal process to get the off-label dosing approved. My doctor and I gathered all of my records. So it took several months to do that. And then the appeal and paperwork process with the insuran

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