From Valleynewslive · · 1m
Family's Medical Insurance Appeal Denied
Layla Nielsen's family fought insurance denial after missing a critical code on neonatal formula claim.
In brief
Layla Nielsen's family fought insurance denial after missing a critical code on neonatal formula claim. Layla Nielsen's family successfully appealed denied medical insurance claim after missing an NPI code on neonatal formula reimbursement. Originally reported by Valleynewslive.
Layla Nielsen's early health challenges
Layla Nielsen was born a 3-pound preemie and spent over 50 days in the NICU before coming home.
Mother's neonatal formula costs
Kelly Nielsen fed Layla special neonatal formula as directed by doctors and kept receipts for $600 worth.
Insurance claim denied
Anthem Blue Cross Blue Shield denied the claim over missing NPI code on neonatal formula reimbursement.
NPI code confusion
The insurance company said the claim was missing a prescription and diagnosis code.
“You didn’t fill out the form right. You missed an NPI.”
Health care advocate resource
Kathy Holt’s office helps Connecticut residents with insurance denials and appeals for free.
Claim approved after appeal
Anthem Blue Cross Blue Shield approved the $600 neonatal formula claim after correcting missing codes.
The short version
Layla Nielsen's family successfully appealed denied medical insurance claim after missing an NPI code on neonatal formula reimbursement.
