... another medical claim denied by my lovely friends at Blue Cross Blue Shield of Massachusetts.
Yes, we had a referral from our primary care doc, and we switched to a more expensive BCBS plan that was supposed to cover more out of network stuff, but, alas, some guy sitting behind a desk, who has never met the patient, never asked her a question nor even called her physician knows that this simple visit to a specialist was 'not a medical necessity.'
Just one more reason why I will laugh a bitter laugh when the major health insurers put themselves out of business by creating such a wave of angry American consumers that congress will have no choice but to create a single payer system. It probably will happen incrementally and take several years, but it will happen. The backlash has begun.