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DecisionDx denial reversed

Forums General Melanoma Community DecisionDx denial reversed

  • Post
    Joycem
    Participant

      Hm. Got a letter from my insurer saying the denial of claim was reversed on appeal. I was aware Castle Biosciences was appealing, but did not expect they would succeed. (Castle was not going to collect from me anyway.) 

      ”Upon review of the documentation submitted, the request is approved. The DecisionDx-Melanoma signature indeed may be an independent predictor of metastasis risk to assess and design individual preventative measures of metastases for patients such as this patient. The reviewer that made this decision is a Board Certified Medical Doctor in Dermatology. The reimbursement associated with this approval has been processed and you will receive a corrected explanation of benefits.”

      (Happily no metastatic occurrence almost 2 years post diagnosis but keeping an eye on things..) 

      Thanks to all who share here, and best wishes (and prayers) especially to those fighting active active disease.

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    • Replies
        jetdoctor67
        Participant

          My insurance has initially denied the claim and Castle is appealing.  I hope they have the same success.

          pinky2001
          Participant

            My insurance company denied the Castle $8,500 claim and it appears they have asked for more information.  I was not advised by my dermatologist that the test was so expensive.  Since I did not have a SLN biopsy, stage 1b, the test result provided some comfort (Decision Dx result was low risk (1a) for mets within 5 years).  I hope my Castle test results prove to be accurate!

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