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Re: [IP] Cigna upheld the denial



There is a catch 20/20 here.  The Cigna endo's don't do pumps.

----- Original Message ----- 
From: "Wayne" <email @ redacted>
To: <email @ redacted>
Sent: Friday, October 17, 2003 5:56 PM
Subject: Re: [IP] Cigna upheld the denial


> I think the key is to have an Endo write the script for the pump
> ----- Original Message ----- 
> From: "Kathleen Weaver" <email @ redacted>
> To: <email @ redacted>
> Sent: Friday, October 17, 2003 6:46 PM
> Subject: [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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