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Search: Posts Made By: ouchtear
Forum: Insurance Hell 04-29-2019, 01:55 PM
Replies: 12
Views: 4,764
Posted By ouchtear
(Update) WON new appeal BCBS NY

The second time was a charm. I went through the process again and won. Had my surgery 11 days ago. My winning appeal letter is on the Facebook adr forum files section. I also used the Laurie Todd...
Forum: Insurance Hell 09-20-2018, 10:09 PM
Replies: 4
Views: 2,372
Posted By ouchtear
Any? I would like to see a written appeal example...

Any? I would like to see a written appeal example that actually worked.
Forum: Insurance Hell 09-14-2018, 07:35 PM
Replies: 4
Views: 2,372
Posted By ouchtear
Has Any successfully appealed a denial in BCBS

I know that some have put in International claims and been reimbursed.. But has anyone been denied Lumbar ADR wrote a appeal and Won?? specifically NY but I would like to know any state.. It would...
Forum: New Member Introductions 06-12-2017, 04:07 PM
Replies: 2
Views: 3,481
Posted By ouchtear
5 years later what was the result?. I too am...

5 years later what was the result?. I too am possibly looking to get two levels with him. I assume it was two Activ l 's .
Forum: New Member Introductions 05-15-2017, 10:19 AM
Replies: 13
Views: 8,816
Posted By ouchtear
Keep in mind that there are UK doctors that have...

Keep in mind that there are UK doctors that have done thousands of Activ-l's in the UK and Europe with great success too. Dr. Clavel's web site states that he will use a Activ-l on occasion...
Forum: Insurance Hell 05-15-2017, 10:02 AM
Replies: 12
Views: 4,764
Posted By ouchtear
Yes.. That is the evidence that I agree with too....

Yes.. That is the evidence that I agree with too. It was 3 independent Doctors in New York State that make the final decision on the External appeal. 3 morons if you ask me.. If they are not...
Forum: Insurance Hell 03-09-2017, 09:45 PM
Replies: 12
Views: 4,764
Posted By ouchtear
Thanks, Yes I know about Texas Back Institute...

Thanks, Yes I know about Texas Back Institute that is where I actually went. I have also had a quote from Doctor Clavel too. I would need a loan and there really are no long term loans out there...
Forum: Insurance Hell 03-06-2017, 10:57 PM
Replies: 12
Views: 4,764
Posted By ouchtear
BCBS of NEW YORK DENIED

After months and months of internal appeals and finally a external appeal from New York state it was finally denied. I was going to have a one level l5-s1 done with either a Prodisc L or Activ L at...
Forum: New Member Introductions 06-06-2016, 04:19 PM
Replies: 5
Views: 3,860
Posted By ouchtear
Yes Checked into Texas Back Institute and they...

Yes Checked into Texas Back Institute and they said that it would be around 14k for the additional disk out of pocket for Double Activ l I am still leaning at getting M6's but can't afford that...
Forum: New Member Introductions 05-26-2016, 09:09 PM
Replies: 5
Views: 3,860
Posted By ouchtear
Hi, So you had the one-level done in the US...

Hi,

So you had the one-level done in the US I'm guessing at the Texas Back Institute? I am considering the Activ l but I need two levels so I would have to go to Europe.
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