Ameriben solutions Complaint - health insurance denial of claims
WASHINGTON -- My 10 yr old son has a seizure disorder and has recently begun to have nocturnal seizures.As research shows , 1/3 of all people with seizure disorders have some form of sleep apnea.His neurologist sent him to have a sleep apnea test done and it did come back negetive.Now our insurance has denied the claims for about $3000.00 . They are telling us that its not a covered benefit.The doctor faed the insurance company some records showing that my son had a DIAGNOSTIC test done and that he has never been TREATED for sleep apnea.Here is what my benefit book states......Pg.24 , Treatment of or related to sleep disorders , except as specified under covered medical equipment and supplies.......Pg (Covered services) diagnostic , x-ray and lab services.They have sent these claims to their review department and they still deny them. The bills now have late fees and collection charges not to mention they are affecting my credit now.
To help keep me as a potential future customer, I would like the following:
I would like the insurance company to pay the claims , the late fees , the collection charges and right a letter accepting responsibility for the collections to help me get it off of my credit report.I think I am also due some kind of compansation for my time spent making the phone calls (sitting on hold for endless periods of time and arguing my case) and my stess not knowing how to pay these bills so the neurologist will keep treating my son for his regular needed visits.
At the very least I would like a response from your company regarding this incident. Thank you for your time.