I hurt my shoulder in may. Went to dr in june, had xray which showed bones ok.
Went to 5-1/2 wks of pt. Stopped pt cause they said arm was getting worse & they cant help. Went to surgeon & got cortisone injection, didnt help. Dr wanted mri, but they declined cause it wasnt same dr who wrote script for all 3.
Who cares who wrote it? Called original dr, they submitted & was denied because they wanted more info on pt. They gave them that info, but denied cause aetna wants more clinical info. Dr has submitted it & has filed an appeal.
Waiting to hear back. Surgeon feels i need surgery but i cant even get mri. Ive done everything in order & keep getting denied.
If i pay $500 for mri im afraid surgery will still be denied. What can i do?
Review about: Aetna Medical Claim.
Reason of review: Order processing issue.