I'll play the devil's advocate here and say that maybe it was a coding mistake. If it were coded incorrectly, it would get kicked out and not paid. I just know that after my husband's motorcycle accident he had to have a skin graft on his leg where the broken bone had come through and a chunk of skin went missing. The insurance people coded that skin graft as "cosmetic" by mistake and it was rejected. Clearly it was not cosmetic and the problem got straightened out and the claim was paid in the end. You should keep trying to get ahold of them to prove your side. Never know, they may agree right away that you are right and that it was just a mistake. Good luck!
__________________
~ Angie |