Whoever told us to get a case manager to deal with our insurance companies was sheer genius. I have talked to numerous people from our insurance in the past six months and no one ever seemed very helpful. Well today I called and asked for a case manager - since we use so much insurance - and sure enough they assigned us a nurse and she was beyond helpful. I was really worried about the growth hormone and she made it sound very promising! I am excited and very thankful because it has been so frustrating calling back and forth trying to get things approved!!!