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Showing results 1 to 6 of 6 Search took 0.00 seconds. Search: Posts Made By: gwin

Forum: Insurance Hell 07-06-2010, 09:34 PM

Replies: 16 Paying for ADR/fusion hybrid Views: 26,278 Posted By gwin Blue Cross denied fusion, need documented approvals HI All: I don't mean to butt in, but I am in a rather departe situation putting together an appeal to Blue Cross (Using Laurie's book and advise) for denial of a 2 level fusion. I need to find...

Forum: Insurance Hell 07-06-2010, 02:23 PM

Replies: 16 Blue Cross Denied Fusion - Has anyone been approved with stable spine or for pain? Views: 13,394 Posted By gwin Blue Cross Denial of Lumbar Fusion Sorry, grammar mistakes, should read "Blue Cross reply to me when denied and when I spoke with them was simply " determined your request for service is not medically necessary". They will not offer...

Forum: Insurance Hell 07-06-2010, 02:21 PM

Replies: 16 Blue Cross Denied Fusion - Has anyone been approved with stable spine or for pain? Views: 13,394 Posted By gwin Anthem Blue Cross Denial of Lumbar Fusion Hi Fred: Blue Cross reply to me when denied and when I spoke with them was simply " determined your request for service is not medically necessary". They will not offer any option, simply a total...

Forum: Insurance Hell 07-05-2010, 11:47 PM

Replies: 16 Blue Cross Denied Fusion - Has anyone been approved with stable spine or for pain? Views: 13,394 Posted By gwin Spinal Fusion Denied by Anthem Blue Cross Hi Fred: Thanks for the reply. What is your reason for needing fusion? Do you have an "documented" unstable spine? I look forward to hearing back on your approval, and hope all goes well. Gwin

Forum: Insurance Hell 07-05-2010, 08:34 PM

Replies: 16 Blue Cross Denied Fusion - Has anyone been approved with stable spine or for pain? Views: 13,394 Posted By gwin Hi Harrison: Thanks for the reply. ... Hi Harrison: Thanks for the reply. Yes, this was quite a shock to both me and my doctor, as the diagnosis from more than 10 doctors I have consulted in the past 8 months is severe...

Forum: Insurance Hell 07-05-2010, 08:08 PM

Replies: 16 Blue Cross Denied Fusion - Has anyone been approved with stable spine or for pain? Views: 13,394 Posted By gwin Blue Cross Denied Fusion - Has anyone been approved with stable spine or for pain? I was set for a 2 level bi-lateral decompression and fusion of L1,2 and L2,3 plus laminectomy of L3 and L4, but the evening before surgery was notified by my doctors office that Anthem Blue Cross...

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