August 18, 1999 .......... (retyped by Nancy Lee for posting, names/ID’s edited, on 9/2/99)

Nancy R. Lee
(street address)
(city, state, zip)

Re: Nancy Lee
Id: (xxxxxxxxxxxx)
Group: (xxxxxxxxxxxx)

Dear Ms. Lee:

Thank you for allowing Intergroup another opportunity to address your concerns regarding your request and (sic) for uterine artery embolization for the treatment of uterine fibroids and your patience during the Arizona Department of Insurance’s (ADOI) review of your request.

Intergroup’s Member Inquiry Department received a recommendation from the ADOI, to overturn our denial. Therefore Authorization number (xxxxxxxxx) for the above services from Scottsdale Health Care has been entered. This authorization will expire on October 17, 1999.

Having received a decision from an independent external review entity, the appeals process for your request is now concluded. Decisions reviewed by the Department of Insurance may be reviewed as an “appealable agency action” by the Office of administrative (sic) pursuant to A.R.S. x41-1092 as explained in the enclosed notice. Thank you for allowing Intergroup to fully reconsider your request.


(appeals specialist)

Grievance and Appleas Specialist
Intergroup Member Inquiry Department