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Why no bone marker tests before starting alendronate?
Osteoporosis & Bone Health | Last Active: May 25 12:42pm | Replies (23)Comment receiving replies
@oopsiedaisy
we need our doctors to challenge these denials. The denials are made by non-medical insurance company claims adjusters. Whereas challenges usually involve medical personnel. I read somewhere that 75% of denials are reversed on appeal, but a greater percentage of denials are never challenged. ( I don't know how valid the 75% number is, though,)
Replies to "@oopsiedaisy we need our doctors to challenge these denials. The denials are made by non-medical insurance..."
@gently You are correct that more people should appeal insurance denials. I watched an online presentation on this subject about a year ago and the figure of those who appeal is low and the number of those who win on appeal is high.
Insurance counts on people not feeling well enough or having the time to make an appeal. The onus is on us. Clinicians will have to be involved to provide backup for our claim to coverage but we are often the ones who initiate the process.
If anyone is interested, there is an organization called Triage which does outstanding work on health insurance and other financial issues facing cancer patients but others as well. Here is a link to one of their resources on Appeals:
https://triagecancer.org/quick-guides/health-insurance-appeals
I believe Triage has its annual online presentation of various financial issues coming up in the next week or soon:
https://triagecancer.org/conferences
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@gently I agree. At the time, I was not as educated about osteoporosis so I didn’t bother to question it. It’s great that we have forums like this where people who are newly diagnosed can be made aware that they should be seeing a specialist right from the start.