Botox Reimbursement Solutions Services

Botox options, which Doctors use this form of treatment and techniques offered.

Botox Reimbursement Solutions Services

Postby Violet M » Thu Jan 24, 2013 5:20 am

For assistance in getting your Botox injections covered:
PNE since 2002. Started from weightlifting. PNE surgery from Dr. Bautrant, Oct 2004. Pain now is usually a 0 and I can sit for hours on certain chairs. No longer take medication for PNE. Can work full time and do "The Firm" exercise program. 99% cured from PGAD. PNE surgery was right for me but it might not be for you. Do your research.
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Violet M
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Re: Botox Reimbursement Solutions Services

Postby BrendaJ » Sat Jun 28, 2014 1:58 am

I called them today when I received a denial letter from BCBS. They pay for the Botox itself, but not for the rest of what's involved. I have the right to appeal. Any advice for how to make the appeal compelling?
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Re: Botox Reimbursement Solutions Services

Postby nyt » Sat Jun 28, 2014 7:52 pm

Whoever did the botox injections should send all your medical records and have them write a letter of necessity. Talk with someone at your insurance company about the appeal process and see if they will work with you so you are only dealing with one person at the insurance company. Sometimes it isn't that easy to do that but it is really helpful if there is one direct person you can call to make sure they got everything or if they could use additional information. Many times it is the codes they use and if they don't use the exact codes they won't cover it.
2/07 LAVH and TOT 7/07 TOT right side removed 9/07 IL, IH and GN neuropathy 11/07 PN - Dr. Howard
6/08 Obturator neuralgia - Dr. Conway 11/08 Disability, piriformis syndrome - Dr. Howard
4/09 Bilateral obturator decompression surgery, BLL RSD - Dr. Howard
9/10 Removed left side TOT, botox, re-evaluate obturator nerve - Dr. Hibner
2/11 LFCN and saphenous neuralgia - Dr. Dellon 2/11 MRI with Dr. Potter - confirmed entrapment
5/11 Right side TG - Dr. Hibner 2012 Left side TG - Dr. Hibner
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Re: Botox Reimbursement Solutions Services

Postby BrendaJ » Sat Jun 28, 2014 9:30 pm

Thank you for the advice! Fortunately, I had the doctor ask for preauthorization so I don't owe anything. I am so disappointed that it wasn't approved because the options from here are limited. I can't travel so I couldn't go to my oldest grandson's graduation and I wasn't able to be there for my newest grandchild's birth. My pelvic floor therapist told me the day before the denial from BCBS that until Botox there's little progress that can be made and insurance doesn't like to pay for maintenance. From your history, you must have gone through a lot of disappointments which actually hurt worse than the pain. How did you cope?
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