CRUCIAL COVERAGE DENIED

WE HAVE RECENTLY SENT THROUGH A REQUEST FOR PMB FUND FOR A MEDICAL DIAGNOSED CONDITION BY THE SPECIALIST DISCIPLINE THE PRIMARY XRAY CLEARLY INDICATES THE DEGENERATIVE CHANGES CODE 941A MAKES INCLUSION OF SUCH CONDITION HOWEVER OUR BRILLIANT SCHEME HAS DECIDED TO DECLINE FUNDING AND HAS NOT SUPPLIES A CLINICAL REASON AS USUAL I FIND IT DIFFICULT THAT WE HAVE TO PAY A CO PAYMENT AS WELL FOR A PMB CONDITION RELATED MRI THE CMS PMB GUIDLINES INDICATE THAT SURGICAL AND OR MEDICAL MANAGEMENT MUST BE CONSIDERED. THE PATIENT IS STRUGGLING WITH CONTINUOUS PINS AND NEEDLES AND OFTEN NO SENSATION IN HER LOWER EXTREMITIES SHE HAS CONSULTED A PHYSICIAN AND A ORTHOPEDIC YET THE SCHEME DOES NOT HAVE THE DUE DILIGENCE TO REVIEW AND SUPPLY THE PATIENT WITH THE RELEVANT PMB LEVEL OF CARE.

MEDIHELP ALWAYS STRIVES TO AVOID PMB LEVEL OF CARE AND FIGHTS THE MEMBER TO THE LAST WHENEVER SUCH MATER ARRIVES...