Epilepsy Foundation

Help requested regarding cost of video 24 hour eeg. Insurance denial

My daughter had a 24 hour video eeg from Wedneday to Thursday.  The day after the eeg we received an insurance denial because the video eeg was not medically necessary.  Does anyone know the typical cost of this type of eeg?

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Comment by Jennifer Holly on July 28, 2011 at 2:40pm
Good news we won the appeal!!! Thanks for your support.
Comment by Paul Nim on July 23, 2011 at 8:39am

What may be more important is showing the insurance company that the video EEG was medically necessary.

You can search "Electoencephalographic (EEG) Video Monitoring: www.aetna.com/cpb/medical/data/300_399/0322.html  (Aetna Clinical Policy Bulletin)

It states that video EEG monitoring is medically necessary to:

-differentiate epileptic events

-establish first diagnosis of epilepsy

-establish specific type of epilepsy, etc.

Blue Cross Blue Shield has a similar policy. I'm sure others do too.

Keep us informed.

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