This page is updated throughout the year.
Denial 1. #0333 RC 12/08/99 NOT MEMBER six months prior to RC (joined 9/9/99) Denial 2. #0416 -- 10/17/00 CATEGORY not yet grantable (asthma prescription) Denial 3. #0006 EX 02/08/01 Discount from provider required before $20 paid Denial 4. #0119 DX 03/22/01 One $20 grant per member year: paid EX instead 10/31/01 Denial 5. #0404 DX 07/10/01 Discount from provider required before $20 paid Denial 6. #0561 -- 10/09/01 CATEGORY not grantable until 5/02 (emergency room visit) Denial 7. #0418 -- 10/18/01 CATEGORY not yet grantable (emergency evaluation for contusion) Denial 8. #0177 -- 11/29/01 CATEGORY not grantable until 5/02 (emergency room visit) Denial 9. #0175 DX 02/05/02 One $20 grant per member year: (renewed 5/26/01, paid DX 6/7/01, next DX payable after 5/26/02 Denial 10. #0324 -- 02/13/02 CATEGORY not yet grantable (hip Replacement) Denial 11. #0630 GX 03/19/02 One $20 grant per member year: paid DX instead 3/24/02 Denial 12. #0283 BB 04/04/02 PAID ALREADY BY PRIMARY INSURER Denial 13. #0620 -- 04/20/02 CATEGORY not yet grantable (tooth filling) Denial 14. #0324 -- 04/29/02 CATEGORY not yet grantable (hip replacement: postop exam) Denial 15. #0404 DX 05/19/02 One $20 grant per member year: renewed 7/1/01, paid DX 10/2/01, next DX payable after 7/2/02 Denial 16. #0413 -- 06/06/02 CATEGORY not yet grantable (tooth filling) Denial 17. #0099 -- 06/13/02 CATEGORY not yet grantable (xray unrelated to a grantable category) Denial 18. #0073 ER 06/27/02 ER grants only for bills above $300. Bill submitted was $225.39 Denial 19. #0316 -- 07/17/02 CATEGORY not yet grantable (single acupuncture visit) Denial 20. #0630 DX 07/31/02 One $20 grant per member year: joined 1/7/02, paid DX 3/24/02, next DX payable after 1/8/03) Denial 21. #0018 DX 09/09/02 Discount from provider required before $20 paid Denial 22. #0017 DX 09/18/02 One $30 grant per member year: renewed 1/4/02, paid DX 3/14/02, next DX payable after 1/4/03) Denial 23. #0620 DX 10/09/02 One $20 grant per member year: renewed 12/10/01 paid DX 3/31/02, next DX payable after 12/10/02) Denial 24. #0671 DX 11/04/02 One $20 grant per member year: joined 2/26/02 paid DX 3/24/02, next DX payable after 2/26/03) Denial 25. #0707 -- 11/27/02 CATEGORY not yet grantable (general lab work) Denial 26. #0780 -- 12/14/02 CATEGORY not yet grantable (joint dislocation) Denial 27. #0678 GX 12/14/02 One $20 grant per member year: joined 1/4/02, paid DX 11/14/02, next DX payable after 3/4/03 Denial 28. #0779 -- 12/14/02 CATEGORY not yet grantable (cyst removal) Denial 29. #0361 DX 12/22/02 Discount from provider required before $30 paid Denial 30. #0764 ER 12/22/02 ER grants only for bills above $300. Bill submitted was $149.25 Denial 31. #0848 -- 01/08/03 CATEGORY not yet grantable (vaccination) Denial 32. #0764 ER 01/27/03 NOT MEMBER: expired 7/13/02, bill 12/01/02 Denial 33. #0320 DX 01/27/03 One $30 grant per member year: renewed 6/21/02, paid DX 7/26/02, next DX payable after 6/21/03 Denial 34. #0721 DX 02/04/03 Discount from provider required before $20 paid Denial 35. #0548 -- 02/05/03 CATEGORY not yet grantable (dental extraction category effected 1/1/03; service 12/27/02) Denial 36. #0120 -- 02/06/03 CATEGORY not yet grantable (dental extraction category effected 1/1/03; service 8/2/02) Denial 37. #0397 DX 02/12/03 One $30 grant per member year: renewed 7/7/02, paid DX 7/17/02, next DX payable after 7/7/03 Denial 38. #0759 DX 02/18/03 One $20 grant per member year: joined 7/9/02, paid DX 10/12/02, next DX payable after 7/9/03 Denial 39. #0717 DX 02/19/03 One $20 grant per member year: joined 4/20/02, paid DX 8/21/02, next DX payable after 4/20/03 Denial 40. #0927 DX 03/03/03 CATEGORY not yet grantable (dental surface ceramic) Denial 41. #0287 -- 03/06/03 CATEGORY not yet grantable (pap screening) Denial 42. #0504 -- 03/06/03 CATEGORY not yet grantable (tendonitis & stress reduction) Denial 43. ---- DX 04/26/03 NOT MEMBER Denial 44. #0030 DX 04/26/03 One $30 grant per member year: renewed 5/12/02, paid DX 4/26/03, next DX payable after 5/12/03 Denial 45. #0030 EX 04/26/03 One $20 grant per member year: renewed 5/12/02, paid DX 4/26/03, next DX payable after 5/12/03 Denial 46. #0877 -- 05/12/03 CATEGORY not yet grantable (tooth filling) Denial 47. #0877 -- 05/16/03 CATEGORY not yet grantable (acute pharyngitis) Denial 48. #0287 -- 05/30/03 CATEGORY not yet grantable (hormone replacement) Denial 49. #0233 DX 06/04/03 One $30 grant per member year: renewed 9/17/02, paid DX 1/22/03, next DX payable after 9/17/03 Denial 50. #0100 DX 06/09/03 Discount from provider required before $20 paid Denial 51. #0366 -- 06/10/03 CATEGORY not yet grantable (single acupuncture visit) Denial 52. #0558 ES 07/02/03 PAID ALREADY BY PRIMARY INSURER Denial 53. #0970 DX 07/16/03 Discount from provider required before $20 paid Denial 54. #0228 PT 07/24/03 Fund has already paid maximum $200 for PT, after broken bone. Denial 55. #0598 ER 07/29/03 ER grants only for bills above $300. Bill submitted was $23.09 Denial 56. #0984 -- 08/06/03 CATEGORY not yet grantable (dental sealants) Denial 57. #0598 -- 08/06/03 CATEGORY not yet grantable (wart removal) Denial 58. #0777 -- 08/06/03 CATEGORY not yet grantable (diagnostic exam-- general exam is grantable) Denial 59. #0083 DX 08/11/03 One $30 grant per member year: renewed 5/20/02, paid DX 12/31/02, bill 4/4/03, next DX payable after 5/20/03 Denial 60. #0483 DX 08/11/03 One $30 grant per member year: renewed 5/20/02, paid DX 7/10/02, bill 4/29/03, next DX payable after 5/20/03 Denial 61. #0087 -- 08/13/02 CATEGORY not yet grantable (nasal polyps) Denial 62. #0431 -- 08/21/02 CATEGORY not yet grantable (bursitis/tendonitis treatment) Denial 63. #1022 ER 09/03/03 ER grants only for bills above $300. Bill submitted was $244.90 Denial 64. #1021 -- 09/09/03 CATEGORY not yet grantable (tooth filling) Denial 65. #0409 -- 09/19/03 CATEGORY not yet grantable (prescription drug) & discount from provider required before $20 paid Denial 66. #0856 RC 09/23/03 NOT MEMBER six months prior to RC (joined 11/20/02; bill 5/8/03) Denial 67. #0319 -- 10/01/03 CATEGORY not yet grantable (kidney stone removal) Denial 68. #0620 DX 10/14/03 One $30 grant per member year: renewed 12/10/02, paid DX 4/2/03, bill 10/2/03, next DX payable after 12/10/03 Denial 69. #1047 -- 10/18/03 CATEGORY not yet grantable (earwax removal) Denial 70. #0877 -- 10/23/03 CATEGORY not yet grantable (acupuncture treatment: first & second visits) Denial 71. #0796 ER 10/31/03 ER grants only for bills above $300. Bill submitted was $231.23 Denial 72. #0017 DX 10/31/03 One $30 grant per member year: paid DX 6/19/03, bill 5/29/03 Denial 73. #0919 DX 11/12/03 One $20 grant per member year: paid DX 5/27/03, next after 2/4/04 Denial 74. #0909 DX 11/12/03 Discount from provider required before $20 paid Denial 75. #0838 -- 11/19/03 CATEGORY not yet grantable (tear lateral meniscus) Denial 76. #0986 -- 11/19/03 CATEGORY not yet grantable (periodontal curettage) Denial 77. #0407 -- 11/21/03 CATEGORY not yet grantable (laboratory tests) Denial 78. #0631 -- 11/28/03 CATEGORY not yet grantable (chiropractic treatment: first visit) Denial 79. #0126 DX 12/02/03 One $30 grant per member year: paid DX 6/2/03, bill 10/8/03, next after 11/15/03 Denial 80. #0315 DX 01/14/04 NOT MEMBER (expired 10/2/03) Denial 81. #1112 -- 01/23/04 CATEGORY not yet grantable (xray not connected to grantable category) Denial 82. #0607 -- 01/28/04 CATEGORY not yet grantable (avulsion of extensor tendon) Denial 83. #0043 DX 02/11/04 One $30 grant per member year: paid DX 12/26/03, bill 2/3/04, next after 5/12/04 Denial 84. #0682 DX 02/16/04 One $30 grant per member year: paid DX 12/26/03, bill 2/3/04, next after 5/12/04 Denial 85. #0682 -- 03/03/04 CATEGORY not yet grantable (dental filling) Denial 86. #1047 -- 03/08/04 CATEGORY not yet grantable (earwax removal) Denial 87. #0970 DX 03/08/04 One $30 grant per member year: paid DX 10/17/03, bill 3/3/04, next after 4/8/04 Denial 88. #1041 -- 04/14/04 CATEGORY not yet grantable (tonsillitis) Denial 89. #0970 DX 04/16/04 Discount from provider required before $20 paid Denial 90. #0607 EX 05/03/04 One $30 grant per member year: paid DX 3/17/04, next after 11/16/04 Denial 91. #0397 DX 05/10/04 One $30 grant per member year: paid DX 8/22/03, next after 8/22/04 Denial 92. #0397 -- 05/10/04 CATEGORY not yet grantable (dental filling) Denial 93. #1248 -- 05/24/04 CATEGORY not yet grantable (CAT scan for edema & hypopotassemia) Denial 94. #0711 HA 06/01/04 One $20 grant per member year: paid EX 6/1/04, next after 4/9/05 Denial 95. #1002 DX 06/04/04 One $30 grant per member year: paid DX 12/26/03, next after 6/4/04 Denial 96. #1005 DX 06/04/04 One $30 grant per member year: paid DX 12/26/03, next after 6/4/04 Denial 97. #0729 DX 06/07/04 Discount from provider required before $20 paid Denial 98. #0729 DX 06/07/04 One $30 grant per member year: paid DX 5/27/03, next after 5/8/04 (bills 10/10/03) Denial 100. #1248 -- 06/09/04 CATEGORY not yet grantable (x-ray for GI tract) Denial 101. #0607 -- 06/20/04 CATEGORY not yet grantable (cytopathology & hormone assay) Denial 102. #1258 -- 06/21/04 CATEGORY not yet grantable (dental filling) Denial 103. #0407 -- 06/24/04 CATEGORY not yet grantable (chiropractic treatment: 1-3 visits) Denial 104. #0407 -- 06/24/04 CATEGORY not yet grantable (anemia) Denial 105. #0407 -- 06/24/04 CATEGORY not yet grantable (pharmaceuticals) Denial 106. #0963 DX 06/29/04 One $20 grant per member year: paid EX 5/24/04, next after 3/26/05 Denial 107. #0598 DX 06/29/04 One $30 grant per member year: paid EX 11/12/03, next after 10/31/04 Denial 108. #0431 DC 06/30/04 One $150 grant after 5 years membership completed: 12/7/06 Denial 109. #1021 DX 07/03/04 Discount from provider required before $20 paid Denial 110. #1248 -- 07/03/04 CATEGORY not yet grantable (ulcerative colitis) Denial 111. #0631 DX 08/05/04 One $30 grant per member year: paid DX 2/11/04, next after 1/7/05 Denial 112. #1243 MX 08/11/04 Discount from provider required before $20 paid Denial 113. #1056 MX 08/15/04 Discount from provider required before $20 paid Denial 114. #0888 DX 09/06/04 One $30 grant per member year: paid DX 1/23/04, next after 12/28/04 Denial 115. #0889 DX 09/06/04 One $30 grant per member year: paid DX 1/23/04, next after 12/28/04 Denial 116. #0890 DX 09/06/04 One $30 grant per member year: paid DX 1/23/04, next after 12/28/04 Denial 117. #0891 DX 09/06/04 One $30 grant per member year: paid DX 1/23/04, next after 12/28/04 Denial 118. #1007 DX 10/12/04 Discount from provider required before $30 paid Denial 119. #1472 -- 10/21/04 CATEGORY not yet grantable (outpatient visit) Denial 120. #0493 DC 10/30/04 One $150 grant after 5 years membership completed: 6/6/06 Denial 121. #1306 MX 11/15/04 NOT MEMBER on 10/21/03; joined 4/24/04 Denial 122. #1319 -- 01/21/05 CATEGORY not yet grantable (pharmaceuticals) Denial 123. #1319 -- 01/21/05 CATEGORY not yet grantable (inoculations) Denial 124. #0738 -- 01/22/05 CATEGORY not yet grantable (outpatient visit not accessory to a grantable category) Denial 125. #1188 DX 01/25/05 One $30 grant per member year: paid DX 6/29/04, next after 2/10/05) Denial 126. #0738 -- 02/25/05 CATEGORY not yet grantable (mammograms) Denial 127. #0767 -- 04/06/05 CATEGORY not yet grantable (colonoscopy, thyroid testing) Denial 128. #0520 DX 04/06/05 One $30 grant per member year: paid DX 8/10/04, next after 7/27/05) Denial 129. #0767 -- 04/13/05 CATEGORY not yet grantable (GI Xray) Denial 130. #0366 DX 04/13/05 One $30 grant per member year: paid DX 10/14/04, next after 5/12/05 Denial 131. #1765 ER 04/15/05 ER charge $171.00, grant eligibility begins at $250 Denial 132. #1331 -- 04/25/05 CATEGORY not yet grantable (general chiropractic) Denial 133. #0767 -- 05/05/05 CATEGORY not yet grantable (Gastroenterology) Denial 134. #0970 DX 05/05/05 No discount given by provider Denial 135. #0319 -- 05/05/05 CATEGORY not yet grantable (radiology not w/ BB) Denial 136. #1026 MX 05/10/05 No discount given by provider Denial 137. #1109 -- 05/10/05 CATEGORY not yet grantable (sprains) Denial 138. #0767 -- 05/24/05 CATEGORY not yet grantable (Gastroenterology) Denial 139. #1937 -- 05/24/05 CATEGORY not yet grantable (blood testing) Denial 140. #1272 -- 06/04/05 CATEGORY not yet grantable (rubella vaccination) Denial 141. #1194 RC 06/13/05 One RC grant per member year, $200 awarded 02/05/05 Denial 142. #1868 MX 06/13/05 One MX grant per member year, $20 awarded 05/25/05 Denial 143. #0631 -- 06/16/05 CATEGORY not yet grantable (general chiropractic) Denial 144. #0767 -- 06/16/05 CATEGORY not yet grantable (Gastroenterology) Denial 145. #1868 MX 06/20/05 One MX grant per member year, $20 awarded 5/25/05 Denial 146. #1524 -- 06/20/05 CATEGORY not yet grantable (pharmaceuticals) Denial 147. #0767 -- 07/10/05 CATEGORY not yet grantable (blood testing) Denial 148. #0366 MX 08/30/05 No discount given by provider Denial 149. #1757 -- 09/05/05 CATEGORY not yet grantable (Gastroenterology) Denial 150. #0404 DX 10/08/05 One $30 grant per member year: paid DX 07/12/05, next after 07/01/06 Denial 151. #1581 -- 10/08/05 CATEGORY not yet grantable (diagnostic exams) Denial 152. #1314 DX 10/13/05 Discount from provider required Denial 153. #0904 DX 10/18/05 One $30 grant per member year: paid DX 4/4/05, next after 1/21/06 Denial 154. #0315 DX 10/20/05 One $30 grant per member year: paid DX on 3/1/05 Denial 155. #1054 ER 11/8/05 Membership expired 7/28/04, date of service 10/20/05 Denial 156. #0283 -- 11/8/05 CATEGORY not yet grantable (diagnostic exams) Denial 157. #1773 DX 11/17/05 Discount from provider required Denial 158. #0762 DX 11/29/05 Discount from provider required Denial 159. #1759 ER 11/29/05 ER grants for bills $300 or more, current bill $220 Denial 160. #1142 DX 11/29/05 Discount from provider required Denial 161. #1331 -- 12/28/05 CATEGORY not yet grantable (chiropractic w/o referral) Denial 162. #1753 DC 12/28/05 DC grant available after 5 yr. membership Denial 163. #1868 -- 12/29/05 CATEGORY not yet grantable (hormone screenings) Denial 164. #1194 -- 01/23/06 CATEGORY not yet grantable (xray) Denial 165. #0249 EX 01/23/06 One exam grant per member year: paid DX 1/23/06 Denial 166. #0227 EX 01/23/06 One exam grant per year: paid DX 1/23/06 Denial 167. #1868 -- 01/23/06 CATEGORY not yet grantable (blood screening) Denial 168. #1165 DX 01/23/06 10% Discount required for DX grant eligibility. Denial 169. #1457 DX 01/23/06 10% Discount required for DX grant eligibility. Denial 170. #1315 DX 01/23/06 One exam grant per member year: paid DX 8/30/05, next after 5/5/06 Denial 171. #2100 -- 02/02/06 CATEGORY not yet grantable (blood screening) Denial 172. #2069 -- 02/02/06 CATEGORY not yet grantable (pharmaceuticals) Denial 173. #0481 DX 02/02/06 Not a member at date of service, lapsed 2004. Denial 174. #1766 DX 02/07/06 10% Discount required for DX grant eligibility Denial 175. #0597 -- 02/15/06 CATEGORY not yet grantable (blood screening) Denial 176. #1109 ER 02/15/06 ER grants paid for bills starting $300 and up. Total bill $88.68 Denial 177. #0598 EX 02/15/06 One exam grant per member year: paid DX 2/15/06 Denial 178. #2036 -- 02/15/06 CATEGORY not yet grantable (blood screening) Denial 179. #1618 -- 02/15/06 Membership expired 11/15/05. CATEGORY not grantable (anaesthesia) Denial 180. #0511 -- 02/21/06 Membership expired 7/6/04. CATEGORY not grantable (mammogram) Denial 181. #0607 -- 04/22/06 CATEGORY not yet grantable (ultrasound) Denial 182. #0315 DX 05/04/06 10% Discount required for DX grant eligibility Denial 183. #1393 -- 05/04/06 CATEGORY not yet grantable (pain treatment, not related to grantable injury) Denial 184. #0836 -- 05/04/06 CATEGORY not yet grantable (pain treatment, not related to grantable injury) Denial 185. #1946 EX 06/08/06 10% Discount required for EX grant eligibility Denial 186. #2123 MX 06/01/06 10% Discount required for MX grant eligibility Denial 187. #1194 DX 06/15/06 10% Discount required for DX grant eligibility Denial 188. #2127 DX 08/31/06 10% Discount required for DX grant eligibility Denial 189. #0521 DX 08/31/06 One exam grant per member year: paid DX 8/1/06 Denial 190. ----- -- 08/31/06 Not a member of Ithaca Health Alliance Denial 191. #1188 DX 08/31/06 One exam grant per member year: paid DX 2/15/06 Denial 192. #1258 RC 08/31/06 Membership expired at date of service Denial 193. #2100 -- 08/31/06 CATEGORY not yet grantable (cataract surgery) Denial 194. #1165 DX 09/16/06 One exam grant per member year: paid DX 2/2/06 Denial 195. #0086 DX 09/16/06 10% Discount required for DX grant eligibility Denial 196. #0187 -- 09/23/06 CATEGORY not yet grantable (MRI) Denial 197. #1073 DC 11/07/06 Dental Crown grant eligible only after 5 yr. membership Denial 198. #0822 DX 11/16/06 10% Discount required for DX grant eligibility Denial 199. #0262 -- 11/16/06 CATEGORY not yet grantable (surgeries) Denial 200. #1258 DE 11/16/06 Membership expired 3/17/05 Denial 201. #1331 -- 11/16/06 CATEGORY not yet grantable (dental fillings) Denial 202. #0291 -- 11/16/06 CATEGORY not yet grantable (x-ray) Denial 203. #1194 DX 11/16/06 10% Discount required for DX grant eligibility Denial 204. #0003 DX 12/28/06 One exam grant per member year: paid EX 12/28/06 Denial 205. #1609 MX 12/28/06 One exam grant per member year: paid MX 10/24/06 Denial 206. #1188 DC 12/28/06 Dental Crown grant eligible only after 5 yr. membership Denial 207. ----- ER 01/12/07 Not a member of Ithaca Health Alliance Denial 208. ----- DX 01/25/07 Not a member of Ithaca Health Alliance Denial 209. #1427 DC 02/01/07 Dental Crown grant eligible only after 5 yr. membership Denial 210. #1930 DX 02/06/07 One exam grant per member year: paid DX 2/6/07 Denial 211. #0419 DX 02/06/07 One exam grant per member year: paid DX 7/27/06 Denial 212. #1457 DC 03/15/07 Dental Crown grant eligible only after 5 yr. membership Denial 213. #0397 DX 03/23/07 10% Discount required for DX grant eligibility Denial 214. #1457 DX 03/23/07 10% Discount required for DX grant eligibility Denial 215. #1331 -- 03/23/07 CATEGORY not yet grantable (routine chiropractic) Denial 216. #0585 DX 03/23/07 10% Discount required for DX grant eligibility Denial 217. #0366 DX 03/28/07 One exam grant per member year: paid DX 10/3/06 Denial 218. #2257 DX 04/06/07 One exam grant per member year: paid DX 3/15/07 Denial 219. #0671 DX 05/24/07 10% Discount required for DX grant eligibility Denial 220. #2232 -- 07/20/07 CATEGORY not yet grantable (bacterial culture) Denial 221. #1047 -- 07/31/07 CATEGORY not yet grantable (blood testing), membership expired Denial 222. #2267 RC 07/31/07 Root Canal grant eligible only after 6 months membership Denial 223. #2235 DC 07/31/07 Dental Crown grant eligible only after 5 yr. membership Denial 224. #2234 DC 07/31/07 Dental Crown grant eligible only after 5 yr. membership Denial 225. #0291 BB 08/09/07 Cost for specific ancilliary BB treatment equipment not grantable (ultrasound bone growth stimulator) Denial 226. #1060 DX 08/23/07 One exam grant per member year: paid DX 06/29/07 Denial 227. #0970 -- 08/28/07 CATEGORY not yet grantable (vaccinations) Denial 228. #0291 CC 08/28/07 Referral for CC not provided. Member declined care. Denial 229. #1188 DX 10/16/07 One exam grant per member year: paid DX 4/17/07 Denial 230. #0187 ER 10/16/07 Membership expired 4/6/06 Denial 231. #2310 BB 12/07/07 Further grants exceen annual maximum for BB ($3,000) Denial 232. #0252 DX 12/13/07 One exam grant per member year: paid DX 4/26/07 Denial 233. #1457 DX 12/13/07 10% Discount required for DX grant eligibility Denial 234. #0597 -- 12/13/07 CATEGORY not yet grantable (dental fillings) Denial 235. #0598 -- 12/13/07 CATEGORY not yet grantable (blood testing) Denial 236. #0312 -- 01/10/08 CATEGORY not yet grantable (sprains) Denial 237. #2266 GX 01/10/08 One exam grant per member year: paid GX 08/23/07 Denial 238. #0483 EX 01/10/08 10% Discount required for EX grant eligibility Denial 239. #0187 ER 01/11/08 Membership expired 4/6/06 Denial 240. #0431 DX 02/15/08 10% Discount required for DX grant eligibility Denial 241. #2290 DX 02/21/08 One exam grant per member year: paid DX 07/28/07 Denial 242. #1295 -- 02/22/08 CATEGORY not yet grantable (mammogram) Denial 243. #0738 ER 02/22/08 Membership expired 5/29/05 Denial 244. #0312 -- 02/22/08 CATEGORY not yet grantable (sprains) Denial 245. #0393 DX 03/21/08 One exam grant per member year: paid DX 03/21/08 Denial 246. #1457 DX 04/11/08 One exam grant per member year: paid DX 2/7/08 Denial 247. #2350 DX 04/11/08 10% Discount required for DX grant eligibility Denial 248. #0312 -- 04/18/08 CATEGORY not yet grantable (nonspecific joint disorder) Denial 249. #0195 DX 05/07/08 10% Discount required for DX grant eligibility Denial 250. #1887 -- 05/09/08 Bill was paid by insurance Denial 251. #0738 ER 05/09/08 Membership expired 5/29/05 Denial 252. #0738 -- 06/13/08 CATEGORY not yet grantable (surgical services) Denial 253. #2381 MX 06/13/08 One exam grant per member year: paid MX 05/15/08 Denial 254. #2331 -- 06/17/08 CATEGORY not yet grantable (dermatology) Denial 255. #1427 -- 07/14/08 CATEGORY not yet grantable (ultrasound) Denial 256. #2100 DX 07/14/08 One exam grant per member year: paid DX 03/11/08 Denial 257. #0404 -- 07/17/08 CATEGORY not yet grantable (fillings) Denial 258. #1427 -- 08/15/08 CATEGORY not yet grantable (surgical consultation) Denial 259. #2228 DX 09/23/08 One exam grant per member year: paid DX 01/10/08 Denial 260. #0452 ER 09/24/08 Further grants exceed annual maximum for ER ($600) Denial 261. #0840 -- 09/24/08 CATEGORY not yet grantable (chiropractic care) Denial 262. #2196 MX 09/24/08 10% Discount required for MX grant eligibility Denial 263. #0904 DX 09/30/08 10% Discount required for DX grant eligibility Denial 264. #0840 ER 10/07/08 Grant paid 09/23/08 for same bill Denial 265. #2334 EX 10/28/08 One exam grant per member year: paid EX 2/8/08 Denial 266. #2364 MX 11/18/08 One exam grant per member year: paid MX 11/04/08 Denial 267. #1188 DX 12/09/08 One exam grant per member year: paid DX 4/28/08 Denial 268. #2364 MX 12/30/08 One exam grant per member year: paid MX 12/30/08 Denial 269. #0315 DX 01/19/09 10% Discount required for DX grant eligibility Denial 270. #1164 -- 01/19/09 Membership expired 12/31/08 Denial 271. #1895 -- 01/20/09 One exam grant per member year: details unknown Denial 272. #2196 DX 01/26/09 10% Discount required for DX eligibility Denial 273. #0397 DX 01/26/09 10% Discount required for DX eligibility Denial 274. #0087 DX 02/09/09 10% Discount required for DX eligibility Denial 275. #0332 DX 02/23/09 10% Discount required for DX eligibility Denial 276. #2125 DX 02/23/09 10% Discount required for DX eligibility Denial 277. #1609 MX 03/09/09 One exam grant per member year: paid MX 12/30/08 Denial 278. #2483 -- 03/01/09 CATEGORY not yet grantable Denial 279. #1931 DX 03/30/09 10% Discount required for DX eligibility Denial 280. #0843 DX 03/30/09 10% Discount required for DX eligibility Denial 281. #0518 -- 04/13/09 CATEGORY not yet grantable Denial 282. #2494 DX 04/20/09 10% Discount required for DX eligibility Denial 283. #0305 -- 05/13/09 CATEGORY not yet grantable (Dental fillings) Denial 284. #1457 DX 06/03/09 One exam grant per member year: paid DX 10/29/08 Denial 285. #2498 -- 06/03/09 CATEGORY not yet grantable Denial 286. #0607 DX 06/07/09 10% Discount required for DX eligibility Denial 287. #1609 MX 07/01/09 One exam grant per member year: paid MX 12/30/08 Denial 288. #0028 DX 07/01/09 One exam grant per member year: paid DX 02/09/09 Denial 289. #0087 DX 07/08/09 10% Discount required for DX eligibility Denial 290. #1609 MX 08/12/09 One exam grant per member year: paid MX 12/30/08 Denial 291. #2521 DX 09/16/09 10% Discount required for DX eligibility Denial 292. #1609 MX 10/01/09 One exam grant per member year: paid MX 12/3/08 Denial 293. #1609 -- 10/01/09 CATEGORY not yet grantable (sprains) Denial 294. #1609 -- 10/08/09 CATEGORY not yet grantable (sprains and strains) Denial 295. #0843 -- 10/08/09 CATEGORY not yet grantable (Psychiatry) Denial 296. #0843 -- 11/05/09 CATEGORY not yet grantable (Psychiatry) Denial 297. #2256 DX 11/19/09 One exam grant per member year: paid DX 05/13/09 Denial 298. #2257 DX 11/19/09 One exam grant per member year: paid DX 06/03/09 Denial 299. #1016 DX 11/19/09 10% Discount required for DX eligibility Denial 300. #2364 GX 11/19/09 One exam grant per member year: paid 11/19/09 Denial 301. #2549 -- 11/19/09 Medical services provided before IHA membership Denial 302. #1609 -- 12/03/09 CATEGORY not yet grantable (sprains and strains) Denial 303. #2454 -- 12/03/09 CATEGORY not yet grantable (insurance premium) Denial 304. #0671 -- 12/17/09 10% Discount required for DX eligibilty Denial 305. #------ -- 02/08/10 Not a member of Ithaca Health Alliance Denial 306. #------ -- 02/08/10 Already granted assistance for this bill. Denial 307. #------ -- 02/11/10 Membership expired Denial 308. #------ -- 03/18/10 10% Discount required for DX eligibility Denial 309. #2589 ER 03/19/10 This bill was paid by 3rd party/employer Denial 310. #2228 DX 03/29/10 One exam grant per member year Denial 311. #2100 DX 03/29/10 One exam grant per member year Denial 312. #1290 -- 03/29/10 Not a member on date of service Denial 313. #1290 MX 03/29/10 10% Discount required for MX grant eligibility Denial 314. #------ --- 04/05/10 Not a member of Ithaca Health Alliance Denial 315. #2228 ER 04/05/10 Bill already paid by Health Fund grant Denial 316 #2228 MX, ER 04/05/10 One exam grant per member per year Denial 317 # 0607 DX 04/12/10 One exam grant per member per year: paid 11/05/09 Denial 318 # ----- -- 04/12/10 Not a member of Ithaca Health Alliance Denial 319 # 0249 DC 04/12/10 One DC grant every 5 years Denial 320 #2228 MX 04/12/10 One exam grant per member per year: paid 2/22/10 Denial 321 #2516 DX 04/22/10 One exam grant per member per year: paid 4/22/10 Denial 322 #2228 -- 05/12/10 CATEGORY not yet grantable (chest exam, x-rays) Denial 323 #1609 -- 05/18/10 CATEGORY not yet grantable (colonoscopy) Denial 324 #2502 ER 05/25/10 Full documentation needed- need results of challenge to charges levied Denial 325 #1609 -- 05/27/10 CATEGORY not yet grantable Denial 326 #2228 --- 05/27/10 CATEGORY not yet grantable (mammogram) Denial 327 #2228 --- 06/10/10 Full documentation needed- details of servive provided Denial 328 #2228 -- 06/24/10 CATEGORY not yet grantable (pleurisy) Denial 329 #0397 DX 07/29/10 One exam grant per member per year: paid 1/21/10 Denial 330 # 1164 DX 08/02/10 One exam grant per member per year: paid 2/8/10 Denial 331 #0652 MX 08/17/10 One exam grant per member per year: paid 8/17/10 Denial 332 #1187 DX 08/17/10 One exam grant per member per year: paid 2/22/10
Members may appeal denial of grant. Please email office@ithacahealth.org to discuss appeals.