Quote:
Originally Posted by MoxieDoxie
I am in a class action law suite because of something like this where I was denied extra sessions when it was clear from the review and from the letters from my T that it was needed. That was United Health Care using Behavioral Health for their Mental Health Coverage.
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I’m glad that there are people out there fighting this kind of thing. Mine is UHC using Optum. One of the reasons that they stated for the 1x/week decision is simply untrue; T said that she never said that to the reviewer. We’ll see how the appeal goes. They might overturn the decision because of the wrong info, or they might just move the goalpost and say that it’s still not sufficient reason.