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Cerebral Palsy List <[log in to unmask]>
Date:
Sat, 20 Oct 2007 11:01:11 -0400
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See if your ins company will intercede on your behalf.  Now it sounds to 
me like the practice is wary of "risky" patients - one wonders if they 
have had a lot of malpractice suits, which would be an indication of the 
bad rep of this practice, I'd think.

Kat

ken barber wrote:
> the isurance company has a page that you can fill out
> and they as a convienvence to the member will call the
> requested doctor to set up an appointment. this dr.
> was listed as taking new patients. the insurance
> company called to set up judy and i with an initial
> appointment. here is where the doctors office had a
> chance to say "we have too many to take more." they
> did not. they said "we prefer that the patients call
> us themselves." we call and are ask for infomation on
> our meds with the statement that they will look at
> that infomation and call us back. they call us back
> and refused us appointments. the only thing it could
> have been based on was the meds that we take, most
> likely my meds as judy only takes blood pressure meds
> and migraine meds. 
>   
> --- kat <[log in to unmask]> wrote:
>
>   
>> OK - here's my next question - was this on the
>> insurance company's 
>> website or did you call the insurance company to
>> confirm?  If they told 
>> the insurance company they are accepting new
>> patients covered under the 
>> plan and they aren't, really, then they are not
>> supposed to accept 
>> anyone covered under that plan.  In other words if
>> they have a contract 
>> with that plan for billings, etc., and they don't
>> cover a participant, 
>> they may be in breach of contract.  You need to talk
>> to a customer rep 
>> at the insurance company.
>>
>> If this was on the website, then the website might
>> be out of date - you 
>> need to call the insurance company to speak to a rep
>> and see if they 
>> will act on your behalf.
>>
>> Kat
>>
>> ken barber wrote:
>>     
>>> EVEN WHEN THE INSURANCE PLAN CALLED THEY DID NOT
>>>       
>> TELL
>>     
>>> THEM THEY HAD REACHED THE POINT OF NOT TAKING NEW
>>> PATIENTS. THE HAVE TOLD THE PLAN THAT THEY ARE
>>>       
>> TAKING
>>     
>>> NEW PATIENTS. 
>>>
>>>
>>> --- kat <[log in to unmask]> wrote:
>>>
>>>   
>>>       
>>>> The only legitimate reason I can think of is if
>>>>         
>> they
>>     
>>>> aren't accepting 
>>>> new patients into the practice but they should
>>>>         
>> have
>>     
>>>> told you that up 
>>>> front.  It sounds to me like you need to file a
>>>> complaint with the state 
>>>> medical review board.
>>>>
>>>> Kat
>>>>
>>>> ken barber wrote:
>>>>     
>>>>         
>>>>> well, i guess i have seen something new. today
>>>>>           
>> we
>>     
>>>>> picked a doctor off our PPO list for this area.
>>>>>       
>>>>>           
>>>> his
>>>>     
>>>>         
>>>>> practice was marked as accepting new patients.
>>>>>       
>>>>>           
>>>> upon
>>>>     
>>>>         
>>>>> calling we were instructed to give them a list
>>>>>           
>> of
>>     
>>>>>       
>>>>>           
>>>> meds
>>>>     
>>>>         
>>>>> that we took. we gave them a list and were told
>>>>>       
>>>>>           
>>>> they'd
>>>>     
>>>>         
>>>>> get back in touch. a little while later we were
>>>>>       
>>>>>           
>>>> told
>>>>     
>>>>         
>>>>> that we would not be accepted. 
>>>>>
>>>>> has any of you one been refused medical service
>>>>>       
>>>>>           
>>>> based
>>>>     
>>>>         
>>>>> on medicine that you were taking? 
>>>>>           

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