I met with my PS five weeks ago and he said I'll very likely be covered (24 years old, 32H, years of neck pain, shoulder grooves, not overweight, migraines, and 2 years of chiropractic care). The PS office was told the deadline for a decision is 5/16. BCBS sent a letter on 5/9 requesting ICD-10 and HCPC/CPT codes. The letter also says that if I've been sent this request, it "may serve as a notice of an adverse determination." I haven't heard otherwise, so is this a denial of coverage?
Answers (12)
From board-certified doctors and trusted medical professionals
May 18, 2017
Answer: Question Regarding BCBS Coverage for Breast Reduction
May 18, 2017
Answer: Question Regarding BCBS Coverage for Breast Reduction