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Infertility Support and Discussion
Reply to "RPL panel"
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[quote=Anonymous]Wife has had 3 miscarriages. We went on my insurance effective jul 1 because IVF is covered. They denied the pre-authorization and we appealed and they denied the appeal as well ("not medically necessary"), so I am requesting an external/3rd party review with the state. I'm trying to meet all definitions, both policy and clinical. Our policy states that 3 spontaneous abortions is RPL, in which case IVF is permitted as long as there is "evidence of evaluation to determine the cause of the recurrent pregnancy loss." So, just trying to make sure I have all the supporting evidence from our records (which came at me piecemeal). Thus far I'm including: -results of sonohysterogram -karyotype reports -genetic screening reports -bloodwork (this one's a little tricky because wife and I had so much bloodwork done--what would be considered part of an RPL evaluation?) Thank you all.[/quote]
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