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Search: Posts Made By: RiverMiles
Forum: New Member Introductions 09-07-2016, 09:03 PM
Replies: 8
Views: 5,141
Posted By RiverMiles
No personal experience with Dr. Kim

But I've read as many scholarly publications as I could get my hands on since my "ordeal" began and his name frequently appears in the author/researcher credits in the small library I've managed...
Forum: Insurance Hell 09-05-2016, 09:22 AM
Replies: 0
Views: 802
Posted By RiverMiles
Aetna now covers two level cervical ADR

In a clinical policy bulletin dated 9/2/16, one of the largest and most "conservative" insurance companies has expanded coverage to include two level ADR for the cervical spine.

Here's the CPB,...
Forum: Insurance Hell 09-02-2016, 12:48 AM
Replies: 5
Views: 2,363
Posted By RiverMiles
But it would apply to the Anthem BCBS plans. BCBS...

But it would apply to the Anthem BCBS plans. BCBS has so many independent licensees and somehow a procedure that Anthem BCBS calls a new gold standard might be called experimental/investigational by...
Forum: Insurance Hell 09-02-2016, 12:06 AM
Replies: 5
Views: 2,363
Posted By RiverMiles
Good question

And I'm new at this too but I think this applies to group plans within the entire Anthem/BCBS footprint, so all states within their footprint. My understanding is the medical policy bulletins are...
Forum: Insurance Hell 08-29-2016, 03:56 PM
Replies: 5
Views: 2,363
Posted By RiverMiles
BCBS Anthem update: Two-Level Cervical ADR Covered

BCBS Anthem now covers 2LVL ADR for Cervies.

This is not the same policy change that took place (in June?) for BCBS in a portion of its footprint including Texas, Montana, Illinois, New Mexico,...
Forum: New Member Introductions 07-18-2016, 11:38 PM
Replies: 11
Views: 6,533
Posted By RiverMiles
Or is it an ongoing risk without triggers at all?...

Or is it an ongoing risk without triggers at all? Like osteophytes?
Forum: New Member Introductions 07-18-2016, 11:29 PM
Replies: 11
Views: 6,533
Posted By RiverMiles
No please dump away

Sorry for doing a data dump on you but, I do hope it helps you to figure out what you want to do.[/QUOTE]

Seriously, it's all helpful. Wish my upload speeds were faster.

Like everyone I've...
Forum: New Member Introductions 07-17-2016, 07:36 PM
Replies: 11
Views: 6,533
Posted By RiverMiles
Hi Cynlite Thank you for all of this...

Hi Cynlite
Thank you for all of this information. And for the Dr R lead which I've begun to follow up on. In fact, most of the homework I've been doing over the last few days has been based on your...
Forum: International Assistance 07-15-2016, 10:27 PM
Replies: 22
Views: 15,216
Posted By RiverMiles
You and me both! I'm aiming for at least original...

You and me both! I'm aiming for at least original factory condition!

I saw that you ultimately had to leave Dr. Z to his deliberations and move forward. Based on what I learned in this thread, I...
Forum: ADR Frequently Asked Questions 07-15-2016, 09:38 PM
Replies: 47
Views: 72,650
Posted By RiverMiles
Sooo, Aetna... CPB review.

Hey Harrison - Great info.
Do you know if the information on the attachment takes into account Aetna's scheduled policy review for intervertebral disc prostheses? ...
Forum: International Assistance 07-15-2016, 08:29 PM
Replies: 22
Views: 15,216
Posted By RiverMiles
Hey Cynlite - I really appreciate the hopeful...

Hey Cynlite - I really appreciate the hopeful words and the lead! My impressions of Dr Z and his character are the same as yours. And it was his thorough, methodical reputation that drew me to him in...
Forum: Insurance Hell 07-14-2016, 10:14 PM
Replies: 1
Views: 1,350
Posted By RiverMiles
Can insurance company access a 2nd opinion I if I pay for it out of pocket

Does anyone know if it's possible to get a confidential 2nd opinion, meaning not available to insurance company, if the physician is paid directly by the patient?
Not trying to be "all...
Forum: International Assistance 07-14-2016, 09:28 PM
Replies: 22
Views: 15,216
Posted By RiverMiles
Surprised but good to know

Hi all.
I just submitted my docs and records to Dr. Z a couple of weeks ago and I appreciate this thread because it tells me what i am apparently in for!
I have to say it really surprises me...
Forum: New Member Introductions 07-14-2016, 02:37 PM
Replies: 11
Views: 6,533
Posted By RiverMiles
Hi and hope to give back

Hello everyone.

Just joined but have been visiting for a while.
This site has been an indispensable resource for me so I thought my first post really ought to be a sincere "thank you" to all...
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