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Reply to "Acute pouchitis turned into Crohns"

Thanks Scott! Without boring the heck out of everyone I have appealed multiple times. My employer is a major hospital system that requires us to get our care there and only there no exceptions. They consider themselves the best and in many areas they are. (This is not one of those areas however). As they are self insured they write the policy and the codes of pouchoscopy, stricture dilation, etc are done there.

The appeals boards over the years state that I don’t HAVE to get my care from their in house doctors but if I choose to leave the system they will not pay.

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