Thursday, May 26, 2022


Rick Stapleton


I have just received a denial for test sockets (we called to check on pre-auth) on a Humana Medicare patient. We were told that test sockets are a non-covered service for this patient’s policy. Has anyone had a similar experience? Were you able to appeal? Were you successful? How can they deny services to a Medicare recipient when it is normally a covered service?

I guess the insurance industry wants us all to go back to the 1960s. Thanks in advance for your responses.


Rick Stapleton, CPO

NOTE: The information in this email and any attachments may be confidential and/or medical privileged. Access to this email by anyone other than the intended addressee is unauthorized. If you are not the intended recipient (or the employee or agent responsible for delivering this information to the intended recipient), please notify the sender by reply email and immediately delete this email and any copies from your computer and/or electronic storage system. The sender does not authorize the use, distribution, disclosure or reproduction of this email (or any part of its contents) by anyone other than the intended recipient(s). No representation is made that this email and any attachments are free of viruses. Virus scanning is recommended and is the responsibility of the recipient.


Get unlimited access!

Join EDGE ADVANTAGE and unlock The O&P EDGE's vast library of archived content.


Welcome Back!

Login to your account below

Retrieve your password

Please enter your username or email address to reset your password.

The O&P EDGE Magazine
Are you sure want to unlock this post?
Unlock left : 0
Are you sure want to cancel subscription?