What is the name of your state (only U.S. law)? New Jersey
At my annual check-up with my OB/GYN, I mentioned I had found some breast lumps and skin changes, she sent me for imaging, which showed a couple of cysts in my breasts. She then gave me a referral to see a breast specialist about the cysts and skin changes. I went to the appointment with the breast specialist. Later, I received notification from my health insurance company that coverage for the breast specialist claim was denied because I didn't get a referral from my PCP (my OB/GYN is not my PCP.) Is there anything I can do to get this claim fully or partially covered?
At my annual check-up with my OB/GYN, I mentioned I had found some breast lumps and skin changes, she sent me for imaging, which showed a couple of cysts in my breasts. She then gave me a referral to see a breast specialist about the cysts and skin changes. I went to the appointment with the breast specialist. Later, I received notification from my health insurance company that coverage for the breast specialist claim was denied because I didn't get a referral from my PCP (my OB/GYN is not my PCP.) Is there anything I can do to get this claim fully or partially covered?