I thought it was excellent to see direct patient communications regarding a critical diagnostic test.
Joseph P. Hillenburg
@cobaltjacket.com
183 followers 173 following 1.8K posts
Transplant dad, #AvGeek, and IT professional at @WiTronix. Strategy Advisor at @transplantfamilies.com & pediatric transplantation advocate. Opinions are my own.
![WHY IS THIS TICKET IN "DEFERRED" / "PENDING CUSTOMER INFORMATION" STATUS? I TAKE ISSUE WITH THAT CHARACTERIZATION AS THE ISSUE IS IMPROPER PROVISIONING BY [REDACTED].](https://cdn.bsky.app/img/feed_thumbnail/plain/did:plc:2v3la4reunu6zlvrpqk2zsop/bafkreibts4uilkv5pswoozoxho2lc4kzq6ll2gcaebf27l3uvpfzc5bzfi)
![WHY THIS REQUEST WAS NOT APPROVED
From the Medical Director:
We were told that you had a n organ transplant (Heart). Your doctor asked for a test ([REDACTED] Heart) that looks for genetic material from the donated organ (donor-derived cell-free DNA). A test is needed when there is enough proof from research to show that the results will impact patient care and health outcomes. At this time, there is not enough proof that this test will impact your care o r health outcomes. This test does not have clinical utility. As a result, this test is not medically necessary.
We used Carelon Medical Benefits Management Clinical Guideline titled Genetic Testing for Inherited Conditions to make this decision. You may view this guideline at www.carelon.com/mbm-guidelines-genetictesting.`](https://cdn.bsky.app/img/feed_thumbnail/plain/did:plc:2v3la4reunu6zlvrpqk2zsop/bafkreihanewjr5biheclhr4ysrsboonohhqjv4so3bjtuonoqwfg6sar4y)
