Please know that we are deeply sorry that you feel your appeal process was not adequately heard regarding your recent medical claims. The Christian Leadership Benefits Alliance's sole function...
is as an advocate for your health care program. The terms of the health care program are governed by the Christian Church Health Care Benefit Trust. Diagnostic services without a medical condition are not covered during a routine preventative appointment under the terms of your health care program. Highmark and the Christian Church Health Care Benefit Trust are required to deny or approve claims in accordance with the terms of the health care program. Highmark reviewed your appeal and provided a denial for the services. The Christian Church Health Care Benefit Trust agreed with this determination on your appeal of Highmark's denial. The Christian Church Health Care Benefit Trust is not liable for reimbursement of this claim. However, we understand that $600 is an amount that you were not prepared to expend for these tests. Please find enclosed a check for $600 as a gesture of good faith. This payment is not being made as part of your health care program, and all future claims for benefits under the health care program will be paid only if covered under the terms of the program.
Revdex.com:
Well that is certainly above and beyond what I expected. Thank you for your generosity with this challenging claim.
Regards,
[redacted]
Please know that we are deeply sorry that you feel your appeal process was not adequately heard regarding your recent medical claims. The Christian Leadership Benefits Alliance's sole function...
is as an advocate for your health care program. The terms of the health care program are governed by the Christian Church Health Care Benefit Trust. Diagnostic services without a medical condition are not covered during a routine preventative appointment under the terms of your health care program. Highmark and the Christian Church Health Care Benefit Trust are required to deny or approve claims in accordance with the terms of the health care program. Highmark reviewed your appeal and provided a denial for the services. The Christian Church Health Care Benefit Trust agreed with this determination on your appeal of Highmark's denial. The Christian Church Health Care Benefit Trust is not liable for reimbursement of this claim. However, we understand that $600 is an amount that you were not prepared to expend for these tests. Please find enclosed a check for $600 as a gesture of good faith. This payment is not being made as part of your health care program, and all future claims for benefits under the health care program will be paid only if covered under the terms of the program.
Sincerely,
Dawn [redacted], PHR