Disallowed by Horizon BC/BS of NJ: "investigational"

"This letter is in reference to your appeal request for reconsideration of our denial of the above referenced claim (procedure codes A9278, A9276, and A9277)

Your appeal has been reviewed by our Medical Director, Dr. STanley E. Harri. The sensor and transmitter are consideered [sic] investigational.

Therefore, the above claim is not eligible for reimbursement.

We regret that a more favorable decision cannot be reached; however, benefits can only be extended in accordance with our established medical policy guidelines.

Sincerely,

[signed}

Paul Zoblitz Claim Policy REpresentative New Jersey State Health Benefits Program"

Claim for Dexcom Seven and sensors. I will be addressing this with extensive documentation from the Yahoo CGMS group addressing the "investgational" excuse and will also look for assistance from Dexcom.