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Any tips on how to successfully appeal an insurance denial?

Posted by pjebp @pjebp, Sep 16, 2021

I have been denied twice now from my insurance company to get my care at Mayo. I am applying for the final time. If it is denied again, what is the next step? Has anyone experienced something similar? What happened?

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Moderator
Colleen Young, Connect Director | @colleenyoung | Sep 20, 2021
In reply to @pjebp "Thanks everyone I've learned a lot along this journey. I have much more to tell and..." + (show)
@pjebp

Thanks everyone I've learned a lot along this journey. I have much more to tell and I will get it written up and posted as soon as I can. The bottom line is that we appealed the final time to the IRO in the state in which we reside. We just learned this morning that the IRO overturned the denial! Next step is my radiation treatment and surgery.

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Jubilation, PJ! I look forward to hearing the details. When do you start radiation?

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Mentor
Chris, Volunteer Mentor | @auntieoakley | Sep 20, 2021

It’s hard to hoot woo hoo! for someone needing cancer treatment. Lol truly I am so happy for you. Can’t wait to hear more.

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pjebp | @pjebp | Sep 21, 2021
In reply to @colleenyoung "Jubilation, PJ! I look forward to hearing the details. When do you start radiation?" + (show)
@colleenyoung

Jubilation, PJ! I look forward to hearing the details. When do you start radiation?

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I start Monday, September 27.

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pjebp | @pjebp | Sep 21, 2021
In reply to @waterboy "exactly part of my point UNIVERSAL HEALTH CARE would/could solve this, but you would have to..." + (show)
@waterboy

exactly part of my point UNIVERSAL HEALTH CARE would/could solve this, but you would have to control the greed of capitalism and their lobbyists.

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I agree. Greed is a huge problem and everywhere!

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