Dissatisfied with Affinity they are insisting I have a pre existing condition which is not true and there's proof of that!

Good day

My authorization was declined by the Affinity Health clinical review team however I am not understanding on what basis.

I have never been diagnosed prior to the policy with Endometriosis or Pudendal Neuralgia so how can it be a pre existing condition? No where in black and white does it state that I've been diagnosed with these conditions prior to taking out the policy?

My gynae is not even certain according to his LETTER OF MOTIVATION (BEING THE ULTRASOUND REPORT THAT HE SUBMITTED TO AFFINITY) that I even have Endometriosis /Pudendal Neuralgia. It is a suspected diagnosis which brings the reason for him wanting to do the scope (Laproscopic & Hysterscopy) to see if I have endometriosis or the conditions he suspects.

I have completed the 3 month waiting period on the policy, I have provided all documentations that you'll required to authorize my claim.

If I knew I had these conditions and they were pre existing why would I go through all the trouble of calling you'll a 100 times and making sure you'll having all the information you'll need? It just does not make any sense.

Can you'll prove where it says in black and white that I've been clinically diagnosed with Endometriosis and Pudendal Neuralgia ? There has been no such diagnosis on me I guarantee you'll that.

Nothing on my history states those terms and diagnoses and you'll are saying something that is not true.

I am highly disturbed and upset by Affinity and I am requesting that you'll please review my claim again and look at all the facts and everything in more detail before coming to a conclusion The gynae that wants to do the procedure has not even diagnosed with me with these conditions, there are clear questions Mark's on his findings and motivation letter, can you'll not see that??

These diagnoses are not confirmed on me

When I took out the policy ,I had assurance that I will be well taken care of and that you'll really cared for your clients but it does not seem that way to me now.

Your policy documents says clearly you'll cover procedures ( diagnostics, day procedures and so forth)

But where you'll get the conclusion that it's a pre existing condition is what I'm not understanding??

Affinity really doesn't care about their clients, I'm highly dissatisfied with them. They make false conclusions and feel nothing when they cant help their clients. I've wasted my time and money on them . If they do not re consider my authorization request then I will have to cancel. It definitely does not state anywhere in black and white that these were pre existing conditions prior to the policy so where are they getting their facts from?

This procedure was scheduled for the 2/06/2022, they better get back to me ASAP !