Insurance people like crazytalk

Thanks for all the kind words and thoughts about my mom. She spoke with an attorney late last week, and they have a pretty sound plan in place. The first step—which may be all that’s necessary—was to have her doctor write the insurance company a letter explaining why the procedure is medically necessary. It’s pretty damn compelling. If that doesn’t work, they’ll request an internal appeal. If that doesn’t work, they’ll file for an external appeal, where another physician of equal credentials and experience reviews her file and determines whether s/he concurs that the procedure is necessary. If all of that fails, she’ll sue. The folks at the doctor’s office seem relatively confident that there’s a good chance the surgery may still go through this week as planned. All we can do now is wait.