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Old Jan 29, 2011, 01:18 AM
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sunrise sunrise is offline
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I see my PNP every couple of months for ADHD and she writes me prescriptions. Occasionally we will do a therapy session. To get reimbursed by my insurance, she has to give a diagnosis. She does not put down ADHD. She puts down "Major Depression, recurrent." I have never seen her for depression, so I think she is putting this down for other reasons. It made me wonder if health insurance won't reimburse her if the diagnosis is ADHD. Could that be? Does anyone here have a prescriber who puts down their diagnosis as ADHD for the insurance company?
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Old Feb 01, 2011, 12:34 AM
kikki27 kikki27 is offline
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Originally Posted by sunrise View Post
I see my PNP every couple of months for ADHD and she writes me prescriptions. Occasionally we will do a therapy session. To get reimbursed by my insurance, she has to give a diagnosis. She does not put down ADHD. She puts down "Major Depression, recurrent." I have never seen her for depression, so I think she is putting this down for other reasons. It made me wonder if health insurance won't reimburse her if the diagnosis is ADHD. Could that be? Does anyone here have a prescriber who puts down their diagnosis as ADHD for the insurance company?
Yeah I dont think the insurance company would pay if they put down there adhd thats how my doctor get his money .Because a lot of people dont count adhd as an issue but it is an issue .
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Old Feb 03, 2011, 01:23 PM
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sunrise sunrise is offline
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Yeah I dont think the insurance company would pay if they put down there adhd thats how my doctor get his money .Because a lot of people dont count adhd as an issue but it is an issue.
Thanks, kikki. What does your doctor put down instead of ADHD? I wonder why insurance doesn't consider ADHD worth reimbursing for?

It is a mystery to me what insurance will reimburse for and what they won't. I have TMJ disorder and I have had to go to the doctor or dentist for that several times. Neither my dental nor medical insurance will reimburse for those visits. Why not? I am in a lot of pain sometimes due to the TMJ; I am not making it up. When insurance won't reimburse for things like ADHD and TMJ, I feel like they are saying to me that these are not real problems. Like I'm making up my pain or dysfunction or something.
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Old Feb 05, 2011, 10:19 PM
kikki27 kikki27 is offline
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Originally Posted by sunrise View Post
Thanks, kikki. What does your doctor put down instead of ADHD? I wonder why insurance doesn't consider ADHD worth reimbursing for?

It is a mystery to me what insurance will reimburse for and what they won't. I have TMJ disorder and I have had to go to the doctor or dentist for that several times. Neither my dental nor medical insurance will reimburse for those visits. Why not? I am in a lot of pain sometimes due to the TMJ; I am not making it up. When insurance won't reimburse for things like ADHD and TMJ, I feel like they are saying to me that these are not real problems. Like I'm making up my pain or dysfunction or something.
chronic depressions and thyroid .The insurance company forces the doctors too to lie inorder too get paid
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