I'm VERY frustrated with our insurance company right now! Alana had a Prometheus test done ($690!) and before we went ahead with it we called the insurance company to make sure it would be covered. They said it would. A few months later we get a bill from Prometheus because the insurance refused to pay saying it was done out of network. We filled out the paperwork for an appeal and included Alana's medical records and a letter from her GI stating why the test was medically necessary. Today I get a letter from the insurance company stating that my appeal was denied because the test could not be deemed medically necessary! WTH?!?
Is there anything that I can do about this to force the insurance company to pay up? I'm really fed up with them refusing to pay for services just because they can and I feel so helpless in the situation.