Marcus Muñoz retweetledi
I stepped out of a new patient’s consult to have this peer to peer call at the only time offered to me. You may remember an insurance company recently insisting that they’d never interrupt patient care for insurance matters. Reality Check…it happens all the time.
The doctor I spoke with was a general surgeon who had never performed breast reconstruction. He declined to give me his name, citing concerns for his personal safety. He was polite, but ultimately told me that United considers nerve sparing mastectomies “experimental”. He would not provide a written rationale or references for the studies used to make this determination.
But he kindly invited me to appeal.
Sure. What a great idea. The patient and I have all the time in the world. Let’s do this all over again.
Until we are seen and heard.
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