Sun Life Financial Appeals Essay

CanGo has been growing rapidly ever since its formation. It experienced a greater than expected growth in revenues. However, the company is faced with some financial difficulties and so there is a need to take certain financial decisions. Also, it faces problems of controlling logistics related to growth.

The information submitted for this determination was reviewed by our physician. The reason that we are not approving all the requested personal care services is based on the following documents: M11Q-which is your doctor’s order, the home nursing assessment performed on 05/09/2015 and our review of your social support system. We also reviewed all available medical information including information about health services you are receiving concurrently or have received recently.

It has been brought my attention that some of our Sunnyside Hospital affiliated members have filed complaints that their primary care physician issued referrals to designated specialists are not being approved. There are also complaints

Finally, is it important that you feel comfortable discussing your case with your attorney, as you may work with this person for several months. You will have to provide your personal medical records to this person and discuss your health history. If you are uncomfortable doing so, your case may

I went into the Inglewood Neighborhood Health Clinic to switch my PCP back to them. There was a misunderstanding of who I had chosen to be my PCP. I have been have severe pain upper left abdomen area just under the ribs as well as in my back in the same area as the front also accompanying upper inner thigh area of my leg. I had been to the E.R. a few times and also did a walk in at the Inglewood Clinic and the Internal Medicine Clinic at Nashville Metro General Hospital. Yet still no one has figured out what is causing my pain. Needless to say, I went to Nashville Metro General to get a letter stating that I wanted Latrina Blakemore to be my PCP because she was the only one trying to do the test in order to figure out my pain. But the nurse there Sandi in the front lobby wants to talk very loudly about my health and my situation where as everyone

April 19, 2017. I was sitting at the front check-in desk, Mod J, Hematology/ Oncology. Patient approached the front desk stating he was here for his noon appointment with a Dr. Olinski. I told the patient we did not have a doctor by that name, but before we went any further, I asked what was his last name and last four so that I could look and see what he was referring to. When looking into the system, the only appointment I seen was for 6/5/17 with a Dr. Zhao in our clinic, Mod J. The patient stated he couldn’t remember who called him or where they told him to go, only thing he knew was the name Dr. Olinski. Not saying anything to the patient, I tired looking into the patients chart as he stood there looking at me, I looked in the orders,

I would like to file an appeal. On December 8.2016 my primary care physician Dr. Christopher Prihoda sent a referral to Dr. Munir Shaw, of the Memorial Herman Sports Medicine & Rehabilitation, due to carpal tunnel. After being assessed Dr. Shaw then sent me to Dr. Lee Pollack for a nerve test for both hands and neck. I had spoken to an Aetna representative as well as a member of Dr. Phrihoda’s staff who stated that in most cases if a specialist sends a patient to a second specialist they are to contact my primary care physician so that a second referral is sent. If I had not been given this information I would have requested the second referral myself. Needless to say a referral to Dr. Pollack was not sent and I received a bill from

The legislation referred to as the Social Security Disability Insurance and Unemployment Benefits Double Dip Elimination Act has recently come to my attention with great concern. As a citizen of the United States, a current taxpayer, and an eligible voter as of May 2015, this bill will not only affect my present but also my future.

You recently sent a package of claims to Horizon Behavioral Health for services rendered to your spouse John Stonelake, by Ronald S. Newman PhD, an out-of-network provider with your NJ DIRECT coverage. When you called to check on the status of the claims you were advised that they were not received. Additionally, you indicated that twice you have sent in a package of claims that were received and one of the dates of service included with the package was not

I also spoke with you and provide you the information that was giving to me by your medical group, Angeles IPA. You informed me that you had bad experiences with St. Mary’s Hospital and California Hospital

The doctor’s note indicated that the beneficiary was evaluated for a chronic medical condition. The documentation submitted did not support the need for weekly evaluation and management; there was no indication of any new significant medical issues that would necessitate the increased frequency of the service.

Telephone contact made to the patient. Two patient verifier used to confirm name and DOB. Patient states that she continue to have severe lower back pain that worsen with movement and standing for greater than 30 mins. Currently, patient rates her pain 5/10 resting, with an occasional pinching feeling in the lower back. Patient states that she is very concern because she needs her husband help for almost everything such has help with ADL, household chores. Patient states that her husband is due to deploy in January 9. Patient states she is schedule for her MRI January 5. Patient is requesting that her MRI be done asap. Patient states that she is taking her medications as prescribed but she continue to be in pain. Acute Apt was schedule for

I have a physical problem in my life, so I just think I'm weak. At the same time, my dermatologist, primary care physician and other experts told me that I could have fibromyalgia, lupus or rheumatoid arthritis. It seems that every visit will have a different diagnosis.

The case report describes a patient who was referred for home health physical therapy due to her limited mobility, decreased ambulation, and shortness of breath. The patient's physician approved her participation in the study. The patient signed a consent form to participate in the case study.

By looking at the case as a whole and using the capability matrix assessment as a baseline for my analysis, I would recommend Brian Trelstad to invest in Ecotact. Ecotact’s mission is well aligned with that of Acumen’s.. Ecotact’s founder, David Kuria’s goal was to make a social impact through providing sanitation facilities in the underprivileged areas of Kenya. Acumen’s core goal is to invest in ventures that make an impact in the Base of Pyramid sector and that show potential to scale while bringing in a return on investment for Acumen. Ecotact ranks high in its commitment to the Acumen Fund mission because it focuses on providing a solution for the sanitary need in the Base of Pyramid space within Kenya. Furthermore, Ecotact shows