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How can two sleep studys come up with two different results? The first was moderate the second severe. The tests were about 7 months apart.

The dentist that I went to to get a dental appliance from sent the second test to the insurance company and they denied the claim because dental appliances will not work well for sevear apnea and now the whole situation is a mess. How do you explane this to the insurance company?

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Well the explanation part should come from your dentist. They deal with insurance companies every day giving them far more experience. They should also be able to explain why the device in question could help in your case.

Your apnea was probably severe the entire time Chris. You were probably having a good night during your first study. As we have discussed before AHI is not a fixed number as it changes from night to night. Glad to see that you are still fighting.
Or maybe I just had a bad night when it came up severe?! I am not sure how they can say its one or the other if it can change on a nightly basis. Well they sent in the study that says moderate today. I am not sure how the insurance company is going to react to that. I hope this dentist dosent make things worse.

Rock Hinkle said:
Well the explanation part should come from your dentist. They deal with insurance companies every day giving them far more experience. They should also be able to explain why the device in question could help in your case.

Your apnea was probably severe the entire time Chris. You were probably having a good night during your first study. As we have discussed before AHI is not a fixed number as it changes from night to night. Glad to see that you are still fighting.
Ugh, what a pain in the tookus insurance is! Good luck with that.

On the different results though I have found that I have very different pressure needs based on my position that I sleep in. I had a cold during my second titration (when I knew my original pressure of 10 was too low) and slept propped up a bit during the study. Low and behold, they found my pressure should be an 8. Tried that at home and couldn't breathe worth a flip! On my own found I really needed a 12, UNLESS I was sleeping propped up (had a hip injury that had me sleeping in a recliner about a month later). Propped up I really only needed an 8.

Treating OSA seems more art than science sometimes.

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