standard denial language

December 14, 2010 at 2:47 pm

Limecat, the first 2, possibly 3, sentences that you cited as BC/BS’s reason for denying coverage of IVig is exactly what BC/BS gave as the reason for denying coverage of cellcept. I think it is simply standard language, because in my case, and surely yours, my neuro did give a dx of cidp as part of his input into the initial request for coverage (he copied relevant info from my file) and also cited articles stating that cellcept was a standard therapy for cidp.

It’s been stated by several of us….contact your state insurance commissioner. I did and BC/BS’s decision was unequivocally reversed. You don’t need a lawyer for that…just persistence! Good luck.