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Showing results 1 to 14 of 14 Search took 0.00 seconds. Search: Posts Made By: gymnast1981

Forum: Insurance Hell 01-08-2012, 07:26 PM

Replies: 24 Patient Assistant Line (PAL) & Advocate Views: 25,257 Posted By gymnast1981 so someone explain this to me so I've been looking into the reason why they denied my claim after an IRO overturned the claim and approved it, UHC PAID for Anesthesia, Hospital stay, Radiology but they won't pay for the...

Forum: Insurance Hell 01-06-2012, 09:59 PM

Replies: 24 Patient Assistant Line (PAL) & Advocate Views: 25,257 Posted By gymnast1981 Harrison Oh i have lawyers on my behalf (PAL set me up with Lindstrom advocacy) his group is an advocate on medical procedures... so from the very beginning i have had lawyers doing the appeal process for...

Forum: Insurance Hell 01-06-2012, 07:14 PM

Replies: 24 Patient Assistant Line (PAL) & Advocate Views: 25,257 Posted By gymnast1981 UCH can suck it Ok so my surgery was approved November 1 and I had my surgery November 22 we fought with UHC lost and then fought again and lost the appeal then an IRO got brought in and made the final decision...

Forum: Insurance Hell 11-03-2011, 10:55 AM

Replies: 24 Patient Assistant Line (PAL) & Advocate Views: 25,257 Posted By gymnast1981 I guess my next step is to schedule the surgery.... I guess my next step is to schedule the surgery. Once I opened the mail and got the letter yesterday... I kind of jumped up and down for a while screaming :P and then called the doctor but it was...

Forum: Insurance Hell 11-02-2011, 05:55 PM

Replies: 24 Patient Assistant Line (PAL) & Advocate Views: 25,257 Posted By gymnast1981 Omg UHC HAS BEEN OVERRULED! i just got a letter in the mail today from UHC stating that my claim for ADR has been APPROVED!!!!!!!!!!!

Forum: Insurance Hell 09-29-2011, 06:26 PM

Replies: 24 Patient Assistant Line (PAL) & Advocate Views: 25,257 Posted By gymnast1981 They got back to me and it seems that it would... They got back to me and it seems that it would NOT be fusion!!!!! :) she stated that there is no control arm so the way it sounds is that everyone in the study would be receiving the disc but...

Forum: Insurance Hell 09-29-2011, 03:20 PM

Replies: 24 Patient Assistant Line (PAL) & Advocate Views: 25,257 Posted By gymnast1981 Clinical Trials has anyone ever been apart of a Clinical trial? im looking into it just in case my second appeal gets denied. Freedom disc has been closed but one of the clinics that are doing the trial for...

Forum: Insurance Hell 09-21-2011, 11:35 AM

Replies: 24 Patient Assistant Line (PAL) & Advocate Views: 25,257 Posted By gymnast1981 thanks... i want to make sure i have a backup... thanks... i want to make sure i have a backup plan if my 2nd appeal is denied. but the clinical trials are at least giving me a little hope

Forum: Insurance Hell 09-20-2011, 10:17 PM

Replies: 24 Patient Assistant Line (PAL) & Advocate Views: 25,257 Posted By gymnast1981 Doc, The doctor you suggested was the office... Doc, The doctor you suggested was the office that my husband emailed to get info, and they were notified that the trial is full and they are not excepting patients anymore. on the website you gave...

Forum: Insurance Hell 09-20-2011, 02:46 PM

Replies: 24 Patient Assistant Line (PAL) & Advocate Views: 25,257 Posted By gymnast1981 ill look into that. i really want to get this... ill look into that. i really want to get this done if i can. im so ready for it

Forum: Insurance Hell 09-20-2011, 12:32 PM

Replies: 24 Patient Assistant Line (PAL) & Advocate Views: 25,257 Posted By gymnast1981 Doc, I looked into it and my husband requested... Doc, I looked into it and my husband requested info and they emailed him back with in minutes to tell him that the trial is full and they are not accepting anymore patients :(

Forum: Insurance Hell 09-19-2011, 10:27 PM

Replies: 24 Patient Assistant Line (PAL) & Advocate Views: 25,257 Posted By gymnast1981 i haven't looked into a clinical trial but if i... i haven't looked into a clinical trial but if i get denied again I'm going to have to do something so ill look into it. but i wouldn't even know where to start looking for that. i just know that...

Forum: Insurance Hell 09-18-2011, 03:38 PM

Replies: 24 Patient Assistant Line (PAL) & Advocate Views: 25,257 Posted By gymnast1981 If I understood it correctly... PAL is a part of... If I understood it correctly... PAL is a part of Synthes (Pro Disc-L) My doctor's office knew that UHC would deny the claim, so they started the process with PAL as soon as I decided that I wanted to...

Forum: Insurance Hell 09-16-2011, 10:27 PM

Replies: 24 Patient Assistant Line (PAL) & Advocate Views: 25,257 Posted By gymnast1981 Patient Assistant Line (PAL) & Advocate Has anyone used PAL or an advocate to help with their appeal? And has anyone had success? Ive tried to look at past threads on here but couldn't find anything. My neurosurgeon has set me up...

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