That is the information I need-the Drs offices are recommending (oncologist and radiologist) but then their business offices are calling to say does not meet guidelines so she must pay first and then can appeal if isnt covered.  As a retired nurse who worked with getting payment for patients I do not understand what guidelines they are using or how to circumvent in this case if the Physicians are not helping to get payment.  Seems they dont want to deal with it but still want their money.  So what are the options?

Have a close friend recently diagnose and is receiving 2 chemo drugs but was told could also benefit from radiation seeding. However business office is telling her Medicare will not cover so she needs to pay up front. Why is it not covered?