CIGNA Corporation Complaint - Medical Claim denial
DALLAS, TEXAS -- I was diagnosed last year with a hole in my heart. I have three doctors that have indicated that this procedure is medically necessary to my survival. My doctor has spoken to the medical director, wrote letters outlining why this procedure is medically necessary and sent all the required documentation to support that the procedure is medically needed. Every time I tried to get an update on the status on my claim I receive a different reason for its denial. One time it is there is not enough documentation to support that it is medically necessary. Next time I am told that this procedure is not fda approved and considered experimemtal. I found out a week ago that cigna approved the same procedure for another cigna patient.