Need to Win An Insurance Company Appeal? Here's How It's Done.
marshallallen.substack.com
Adam Berkowitz and his team had only two days to convince a young mom’s insurance company to pay for the care she needed to keep fighting cancer. The young woman – a friend of Adam’s wife – had suffered a recurrence of her pancreatic cancer. A tumor had spread to her liver and her doctors at MD Anderson said it had to be treated right away. But the woman’s insurance company was denying the radiofrequency ablation procedure her doctors recommended to destroy the cancer cells. The insurer claimed it wasn’t “medically necessary,” a common excuse health insurance companies use to deny care.
Need to Win An Insurance Company Appeal? Here's How It's Done.
Need to Win An Insurance Company Appeal…
Need to Win An Insurance Company Appeal? Here's How It's Done.
Adam Berkowitz and his team had only two days to convince a young mom’s insurance company to pay for the care she needed to keep fighting cancer. The young woman – a friend of Adam’s wife – had suffered a recurrence of her pancreatic cancer. A tumor had spread to her liver and her doctors at MD Anderson said it had to be treated right away. But the woman’s insurance company was denying the radiofrequency ablation procedure her doctors recommended to destroy the cancer cells. The insurer claimed it wasn’t “medically necessary,” a common excuse health insurance companies use to deny care.