Sunday, August 22, 2010

If I was incorrectly diagnosed can I have it removed from my medical records?

My doctor diagnosed me with type 2 diabetes and when I did more research on it I found out that my blood sugar levels were never actually above the level considered "diabetic". Now I need to change insurance companies due to a job change and want that diagnosis taken off my medical records since it wasn't correct in the first place and will likely make my premium higher for my new insurance. Is this possible? Has anyone done this?

If I was incorrectly diagnosed can I have it removed from my medical records?
You can have your doctor add a correction to your medical record. What you need to do is submit your request in writing telling of your findings and ask him to add a correction, changing your diagnosis. However, your A1C being under 7 doesn't mean that you aren't a diabetic, it can mean that your diabetes is still controlled without medications. Check your fasting glucose levels as well. That with your A1C will give you a better picture of your diabetic state.
Reply:Testing that's done through a doctor's office or hospital are all part of your medical records, regardless of what the diagnosis was. If the tests showed you didn't have type 2 diabetes, it'll show that in your records. You can't remove the information from your medical records that applies to testing that was done, that would be fraud. Now if there's false information in your record, tests that were never performed or some such, you could try requesting the information be removed, but in all likelihood, you'd need to go to court and prove to a judge that they weren't performed and get a court order to have the information removed.
Reply:You'd be altering medical documents, and no that's not a good idea. If you were medically diagnosed incorrectly, seek a second opinion, which would over write the first, and show proof to an insurance carrier of your predicament. If you have damage resulting from the misdiagnosis, seek an attorney. Self diagnosis from online research is not enough to proclaim yourself "cured", "healed" or categorized differently.





If you don't believe this,, take your medical research and show this to your insurance carrier, and see if they find validity in your research! and.. .NO.. I've never done this!





I'd suggest something else, (as I'm really trying to be as concise and accurate with my advice here). Acquire your new health insurance. Pay the premiums and copays are usual. When you seek treatment, or even the intial onset of your first policy amounts, review them with the carrier and ask them how they determined your premium. If their reply is based solely on that medical notation, regarding the diabetes issue, makes claims and argue you're point, that it's not factual, to what degree you believe. Ask them for an arbitrary review. Also do this is you are denied any medical benefits. Some insurance carriers, may not even see this as a "profound" reason to deny the coverage that you are wanting, (which I am not sure, just generalizing here with my opinion). You seemed to be concerned with something before it has even occurred.





I again state, a doctor's notes, synopsis, medical summary, will have substantial more credibility than your own opinions over your health issues. I understand your frustration over this issue, but I have stated factual hypothetical information to help guide you, if you so choose to review it.
Reply:Talk to your Dr. and have him remove it. Take your findings to him.
Reply:A1c doesn't count when diagnosing diabetes. My a1c was 5.9% when I was diagnosed, but that didn't change the fact the my bs was 600. You need to look at the actual bs.
Reply:What has happened is when you had medical tests done your doctor's office likely filed your insurance for you. In order for the insurance company to pay they must have an acceptable diagnosis code on the form when it is submitted.





Apparently, you had something done which came conclusive as diabetes. Did you have a blood glucose test done that came back positive for diabetes? If so, the diagnosis code for diabetes was issued to your insurance company when a payment claim was submitted.





You might be able to have the test re-done over a period of several months and have those results sent to your insurance company. It's possible they might remove it but unlikely.
Reply:Well, your medical record is not really one thing that has a list of diagnoses which can be added or erased, it is a bunch of notes, test results, and labs gathered together, so it's hard to really "remove" anything. However, if you were once diagnosed with diabetes and your doctor realizes that it is a misdiagnosis, you can ask him to include in your record some normal fasting blood glucose levels or a normal oral glucose tolerance tests and some documentation to the effect of, "no clinical or laboratory signs of diabetes".


Now, one thing to remember about insurance companies is that they are essentially evil and they don't care about you at all, they care about improving their bottom line, so regardless of what the truth is, they will often grab hold of whatever they can to raise your rate or deny payment for procedures, no matter how lame the technicality, so even after you have the correct information in your doctor's chart, you may have to spend many long hours screaming at insurance company functionaries to get them to treat you as a nondiabetic, and you may need to get a lawyer eventually.
Reply:Yes. You can have your doctor remove it from your medical records as long as he sees you you are not a diabetic.


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