UHC and Intracept Procedure – They refuse to deny my pre-authorization so that I can appeal

Hello Everyone!

For about a year now I’ve been working with my health care provider, Relievant Health (Company who developed the Intracept procedure) my employer, and (sort of) UCH themselves (my actual insurance is called Surest, but it’s a UHC company).

the TLDR;

I tried to get Pre-auth, and they said they cannot proceed due to it being “experimental” when I know it’s not. Medicare, and various local insurances are covering the procedure just fine, but UHC refuses to budge.

Relievant tried working with my insurance, but many weeks later would come back with:

“Dear Jessekin,

We have been working on your behalf to obtain approval for the Intracept procedure that was ordered by

and after that, I contacted my employer to see if they could work with our insurance broker to contact UHC and get someone to help start an internal appeal. However, UHC will not start an internal Appeal without a “letter of denial” and apparently refuses to supply me with it.

What I hear is, “we have to follow our own rules saying we have to hear ourselves say ‘uncle’, but we refuse to say ‘uncle’ so nah nah naboo boo, you are SOL.”

I’ve honestly been in so much pain from my back I’ve honestly though about doing whatever it takes to get results, but no matter who I talk to, no matter what I do, my insurance refuses to help me. I need this, My doctor says I need this. I’ve provided my insurance with medical necessity documentation, but apparently it’s going to the wrong people or falling on defy ears.

Please people of reddit… help me. I need help. I’m begging. What do I need to do to get UH/Surest to help me? Do I need to take them to court for Emotional Distress/Bad Faith? It sounds so silly, but I’m getting so desperate.

Thanks.