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Insurance Company Tactics Archives

MetLife Approval of Fibromyalgia and Chronic Fatigue Syndrome Claim

Fibromyalgia and Chronic Fatigue Syndrome, also referred to as Myalgic Encephalomyelitis, are debilitating conditions characterized by feelings of extreme exhaustion, muscle and joint pain, memory problems, brain fog, and problems with concentration. Many of our clients who suffer from one or both of these conditions come to us frustrated that, despite letters and documentation from their doctor and health care professionals confirming that their condition is severe and greatly limits their ability to function at work, many insurance companies question these claims stating a lack of evidence or proof of disability. Unfortunately, the cause of these conditions remains unknown and it is often diagnosed only after physicians have run numerous tests to exclude other disorders. However, the disorder is real and for some, incapacitating.

Key Tips in Navigating the Health Insurance Claims Process

Attorney, Alicia Paulino-Grisham was interviewed by the Alliance for Eating Disorder Awareness regarding the health insurance claims process. In the interview, Ms. Paulino-Grisham discussed that many patients and their families often find the health insurance claims process extremely complicated and frustrating. Accordingly, Ms. Paulino-Grisham provided a comprehensive analysis of the health insurance claims process and provided essential tips for patients and their family members to remember when faced with the necessity of filing a claim for eating disorder treatment coverage. Ms. Paulino-Grisham explained that understanding the process and providing the right information to the insurance company early can mean the difference between a claim approval and a claim denial. To see Ms. Paulino-Grisham's interview, click the following link: https://www.youtube.com/watch?v=Hqpl8del8rY.

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