Today I received a letter from MES Solutions, the independent medical board contracted by Horizon BCBSNJ to conduct an external review of my case. They have chosen to uphold Horizon’s denial of coverage.
Shortly after reading their decision, I received a phone call from a very helpful Horizon Rep who informed I actually have one last chance for a reversal through the State Appeal Commission. They are in charge of New Jersey State Employees’ Pensions and Benefits. I just finished a letter to the Appeals Coordinator. Hopes and prayers that it will be successful.
Thank you all the continued support.