Molecular studies as necessary medical treatment

Posted by carlajones101 @carlajones101, Jul 12, 2025

My insurance company has denied payment for the molecular studies on my tumor due to “not medically necessary”. I am writing an appeal and need articles to back up my claim that it is necessary for pancreatic cancer with liver metastasis. Has anyone had this happen and do u have any articles to share?

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carlajones101 | @carlajones101 | Jul 14, 2025

Thanks to all. Sent the appeal with documents and calling Caris today. Will keep u updated.

carlajones101 | @carlajones101 | Sep 24, 2025

Reporting back the payment to Cari’s was $61. The rest either paid or written off, not sure yet what exactly happen but I was told I would not get another bill so paid the $61. The PA letter and 3 supporting articles plus my letter did the trick. 🙏
Thanks for all the help and support!