E, da, hteli jos da je urade za novac za tu operaciju sto je imala. Pa sam morao da joj pisem appeal, tj. dva pre par meseci. Them thieves
This is an official appeal to your letter dated March 24, ref.# 160xxxxxxxxx informing me that the Service Authorization I received was not approved. To be honest I find it unusual if not bizarre that you are telling me that my surgery did not meet “your meaning” of “necessary medical care” after you originally approved it and Dr. Suh performed a surgery.
I am a hairstylist and I have no way of assessing whether a medical procedure is necessary or not. I deeply believe in division of labor and I thus leave important decisions concerning my health to specialists – in this case Dr. Hxxyuxxnsuk Suh. Dr. Suh’s opinion was that the surgery was necessary, Fidelis Care finally approved it on February 5 letter, ref. #160xxxxxxxxx.
Now after the fact you approach me informing me the surgery wasn’t approved after all, because the information submitted was not enough to make a determination. Again, I’m a hairstylist; I don’t know what kind or amount of information you would consider sufficient – maybe you should contact Dr. Suh or administration at Mount Sinai Beth Israel ask for additional information.
I must say your letter left me with a bad taste in my mouth. I am a legal alien and came to this country less than 2 years ago. I work hard, I pay my dues, I pay taxes, and insurance and I expect fair play from others as well. Isn’t the whole idea behind being insured to avoid huge bills on rare occasions when one needs expensive procedure? Where the burden is then spread among other insurees who were lucky enough not to need medical help? And instead you are trying to stick me with the bill?
May I please suggest that you contact Dr. Suh or administration at Mount Sinai Beth Israel, ask for additional information about my procedure and then, having all the facts, reassess whether the surgery was necessary or not.
Please let me know should you have any questions or if you need any additional information from me.