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  • Report: #631189

Complaint Review: sedgwick claims cms

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  • Submitted: Thursday, August 12, 2010
  • Last Posting: Tuesday, December 21, 2010
  • Reported By: Dona — High Point North Carolina United States of America
sedgwick claims cms
175 West Jackson Blvd. st. 700 Chicago Il, 60604 Charlotte North Carolina 28202 United States of America

sedgwick claims cms Short Term Benefits Denial for Ovarian Cancer Surgery Charlotte, North Carolina

*Consumer Comment: Please, Please Contact Me!


2Author 2Consumer 0Employee/Owner

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I was diagnosed with Stage 1C Ovarian Cancer on 07/20/2010. I had an Abdominal Laproscopy with complications due to the size of the tumor 5.5 cm, and all the adhesions present in my pelvic cavity.  I have been denied my Short Term Benefits by Sedgwick CMS because they say my physicians medical documentation did not support a full 6 week recovery period. 

My physician submitted all op, pathology, office notes, his treatment plan and his reasoning to Sedgwick CMS verifying the need for the extended recovery time, and on August 12, 2010 I received a phone call from a very nasty supervisor by the name of Erica who of course refused to disclose her last name, that my claim was denied. 

I of course went off....She actually said these words to me "We don't have a record that your ovaries or fallopian tubes were removed".  I was totally speechless.  My next question of course was..."I guess my physician was bored that day and decided he would poke 3 huge holes in my abdomen for no reason at all".  I was then told by Erica the nasty supervisor that if my physician submitted more supporting documentation...they very rarely would review documentation submitted on a case that has already been closed.  I have had to sell my stock, empty my 401K just to pay my rent and buy food for 2 months because Sedgwick CMS doesn't care about people...they only care about money, and pleasing the huge corporations they work for.  I also contacted the HR department of my employer, and I was told there was not anyone I could contact with my complaint that oversees the workings of this company.  What does that tell you??  I believe they're in it together...whatcha think????  The American people have to come together and fight these unscrupolous companies.  They bank on overwhelming victims so they will not fight.....We have to take our country back, and hold accountable the theives and morally bankrupt CEO's that are ruining this country.  Too many wonderful people have given their lives to protect this country and all that it stands for...we can't let this continue to happen.  We are the American people, and if we stand together and fight......these Corporations will crumble and fall.....and the CEO's who allow this type of behavior will be in a jail cell with Big Bubba!!!!!  What a wonderful thought!!!!

 

This report was posted on Ripoff Report on 8/12/2010 8:16:51 PM and is a permanent record located here: http://www.ripoffreport.com/health-insurance/sedgwick-claims-cms/sedgwick-claims-cms-short-ter-a7de3.htm. The posting time indicated is Arizona local time. Arizona does not observe daylight savings so the post time may be Mountain or Pacific depending on the time of year.

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Updates & Rebuttals

#1 Update By Author

short term disability denied by sedgwick for ovarian cancer

AUTHOR: Donna - High Point (United States of America)

Update...Disability coordinator with physicians office spoke with Erica today and verified all the necessary medical documentation had been received but it would not affect the decision to continue the denial of my short term disability benefits.  The disability coordinator with my physicians office asked Erica..."Even though her physician sent in writing his request for the extension of recovery time, and backed his findings with the necessary medical findings to support his decision, would still be dismissed by Sedgwick CMS, and Erica's reply was "the denial stands".  I believe Erica is practicing medicine without a license.  And she is being supported by her employer Sedgwick who has already racked up 1.3 billion in fines for breach of ERISA regulations in Tenneessee alone.
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#2 Consumer Comment

Of Course Sedgthugs and your Employers are in it together

AUTHOR: screwed by sedgthugs - casa grande (USA)

Sedgthugs handles your claim FOR your employer. Check out the blog Sedgwick Crime Logs. It is hilarious and a wealth of information
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#3 Consumer Comment

Please, Please Contact Me!

AUTHOR: Rob - eureka (U.S.A.)

Thank you for filing this report.  My name is Rob Delsman and my blog is the Sedgwick CMS Crime Log located at : http://sedgwickcms.blogspot.com/ .

I have encouraged people to file "Rip off Reports" for years now and believe that this is an extremely important resource.

For the lady that filed this report, please contact me regarding your comment that Sedgwick CMS has amassed ERISA fines in TN.  I would love to publish this information on my blogs as well.


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