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[IP] Cigna upheld the denial

Just got a letter from Cigna and they have upheld the denial of my pump for
the following reasons:

Based on information submitted the medical necessity for an Insulin Pump was
not established.

Clinical information provided does not establish the medical necessity for
the requested insulin pump.  Clinical records provided do not document
conservative changes in insulin doses to modify control.  No referral to
endocrinologist to assist with managment.  Non-certified Insulin pump.

Fun, isn't it?
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