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Search: Posts Made By: epiphaknee
Forum: Insurance Hell 01-16-2009, 10:43 PM
Replies: 10
Views: 3,506
Posted By epiphaknee
Negotiate, negotiate & negotiate...

Times are tough and nothing is cast in stone. I say negotiate. Maybe arrange a meeting with the hospital administrator and say look I'll pay the $11,000 but the additional $25,000 is just too much....
Forum: Insurance Hell 07-10-2008, 11:11 PM
Replies: 14
Views: 4,110
Posted By epiphaknee
Your insurance company is certainly not your...

Your insurance company is certainly not your friend in this process. They are more than happy leading you along to a path which will result in a denial - hopefully by tripping you up on some written...
Forum: Insurance Hell 06-03-2008, 11:53 AM
Replies: 19
Views: 4,293
Posted By epiphaknee
sahuaro I wonder if you can file a Freedom...

sahuaro

I wonder if you can file a Freedom of Information Act ("FOIA") request to determine the identity of the anonymous reviewer. It seems to smack of lack of due process (violation of...
Forum: The Big File 05-27-2008, 08:17 PM
Replies: 8
Views: 3,879
Posted By epiphaknee
Did Delamarter's office charge you to review your...

Did Delamarter's office charge you to review your films and radiology reports?

Just curious what the standard protocol is!!!
Forum: The Big File 04-20-2008, 12:34 PM
Replies: 2
Views: 1,976
Posted By epiphaknee
If you have both cervical and lumbar herniated...

If you have both cervical and lumbar herniated discs, do surgeons prefer to operate on one area first over the other, or does it just depend?

In my case my cervical discs seem to cause the...
Forum: Insurance Hell 04-20-2008, 12:14 PM
Replies: 30
Views: 8,776
Posted By epiphaknee
I think the following post sheds insight on...

I think the following post sheds insight on getting approved by Medicare with an Aetna PFFS plan.

See:http://adrsupport.org/eve/forums/a/tpc/f/3511036081/m/8871082803?r=8871082803#8871082803
...
Forum: New Member Introductions 04-19-2008, 11:50 PM
Replies: 6
Views: 3,866
Posted By epiphaknee
Hi Nick, I am located in Seattle too and it...

Hi Nick,

I am located in Seattle too and it seems to me the Seattle doctors are very behind the curve when it comes to ADR. I would be interested to hear from others in Seattle too. Specifically...
Forum: The Big File 12-11-2007, 01:54 AM
Replies: 6
Views: 3,465
Posted By epiphaknee
I think the group you are looking for is at: ...

I think the group you are looking for is at: Disinissues@yahoogroups.com

This is a group that discusses both social security disability issues, workers compensation issues (this includes you),...
Forum: Insurance Hell 09-05-2007, 08:40 PM
Replies: 58
Views: 21,263
Posted By epiphaknee
Laurie Todd is speaking at the Issaquah, King...

Laurie Todd is speaking at the Issaquah, King County library on September 25th, 2007. It starts at 7:00 pm. Thereafter, she is speaking at the Mercer Island branch as discussed above. Again, these...
Forum: Insurance Hell 08-27-2007, 06:13 PM
Replies: 58
Views: 21,263
Posted By epiphaknee
For those living in the state of Washington: ...

For those living in the state of Washington:

Laurie Todd is going to speak at the Federal Way and Mercer Island branches of the King Library System on the below dates. This presentation is free. ...
Forum: The Big File 07-25-2007, 05:52 PM
Replies: 2
Views: 2,288
Posted By epiphaknee
I was interested in the following referenced...

I was interested in the following referenced article - Hurting Americans Find Relief Overseas:

http://www.newhouse.com/hurting-americans-find-relief-overseas-2.html

I was most interested in the...
Forum: Insurance Hell 07-14-2007, 02:41 AM
Replies: 30
Views: 8,776
Posted By epiphaknee
This is a question that I have been thinking...

This is a question that I have been thinking about too - a lot. My question is whether Medicare will cover a single level L4 or L5 ADR for a Medicare beneficiary under 60 years old. According to...
Forum: The Big File 07-09-2007, 12:35 AM
Replies: 8
Views: 4,488
Posted By epiphaknee
You can not diagnose FMS with the use of an MRI. ...

You can not diagnose FMS with the use of an MRI. I would ask the party that stated this, for the study or medical article that discusses this "new" approach. FMS is determined by palpating known...
Forum: The Big File 06-30-2007, 12:10 AM
Replies: 3
Views: 2,378
Posted By epiphaknee
I have two comments: First, the hospital...

I have two comments:

First, the hospital fees seem totally outrageous to me! I know that someone has suggested telling the hospital you are going to Germany, if they can not bring their fees more...
Forum: Insurance Hell 06-19-2007, 12:01 AM
Replies: 10
Views: 5,410
Posted By epiphaknee
See Blue Cross Blue Shield Policy 127: ...

See Blue Cross Blue Shield Policy 127:

http://www.regence.com/trgmedpol/surgery/sur127.html

But also see: http://www.globalpatientnetwork.com/news/***news-wsj.shtml

Insurers have taken a...
Forum: Insurance Hell 06-18-2007, 01:17 AM
Replies: 23
Views: 5,224
Posted By epiphaknee
This is a classic anti-trust case fact pattern. ...

This is a classic anti-trust case fact pattern. Insurance companies or any companies conspiring/colluding in an anti competitive manner to reduce competition (e.g. choices) for consumers/patients. ...
Forum: Insurance Hell 05-11-2007, 11:30 PM
Replies: 3
Views: 1,865
Posted By epiphaknee
Another company that I overlooked is Aetna. ...

Another company that I overlooked is Aetna. Seems silly but Aetna provides insurance on your first day of employemnt (according to their website). They appear to have two types of coverage one with...
Forum: Insurance Hell 04-30-2007, 01:29 AM
Replies: 5
Views: 2,434
Posted By epiphaknee
There is someone else within this specific...

There is someone else within this specific section that has received approval from Aetna for a two level ADR Pro Disc L. I would contact that person directly.

Does anyone know if Pro Disc or one...
Forum: Insurance Hell 04-18-2007, 11:39 PM
Replies: 3
Views: 1,865
Posted By epiphaknee
Costco. You become vested after six months. ...

Costco.

You become vested after six months. I don't know, if they have a pre-existing condition window. You can probably tell by searching their online HR and benefits section.

You apply...
Forum: The Big File 10-07-2006, 11:31 PM
Replies: 20
Views: 6,822
Posted By epiphaknee
You actually are describing to a "T" a condition...

You actually are describing to a "T" a condition called orthostatic intolerance. In simplistic terms, this is reduced blood flow to the brain and pooling of blood in the extremities (do you have...
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