Forum: Insurance Hell
02-03-2014, 05:51 PM
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Replies: 1
Views: 3,552
California State Law on Initial Denials
What I am trying to find is if there is a state law or regulation in California as to who is allowed to approve or deny a request for medical services. The appeals process states that the person...
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Forum: Insurance Hell
02-02-2014, 03:43 PM
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Replies: 6
Views: 9,380
Information on successful appeals
Hi Harrison,
I am now having to appeal the surgeon portion of my ADR. I was paid for the surgery center. I would appreciate info on precedents for allowing cervical ADR from BCBS and other...
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Forum: Insurance Hell
01-30-2014, 08:32 PM
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Replies: 1
Views: 3,960
Saw your post looking for precedents back in...
Saw your post looking for precedents back in 2010. I am now looking for precedents. I had a cervical C5/C6 surgery and replacement. Now trying to be reimbursed by Blue Cross/Blue Shield. Any help...
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Forum: Insurance Hell
01-30-2014, 07:46 PM
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Replies: 17
Views: 22,778
Appeal template
If anyone can provide me with a recent successful template for an appeal for a artificial cervical disc replacement claim it would be very much appreciated. I am just beginning my appeal development...
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Forum: Insurance Hell
01-30-2014, 07:42 PM
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Replies: 17
Views: 22,778
My name is Larry Lipzen, and I have Blue...
My name is Larry Lipzen, and I have Blue Cross/Blue Shield of Insurance. BCBS has denied my request for an artificial cervical disc replacement. Has your insurance company paid for it? If so, I need...
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Forum: Insurance Hell
01-24-2014, 04:24 PM
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Replies: 17
Views: 22,778
Hi
In your message re: Laurie Todd you...
Hi
In your message re: Laurie Todd you mention a copy of the successful appeal and a book. I don't see either here. I must appeal a C-5/6 denial and need all the help I can get. Please let me...
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Forum: Insurance Hell
12-09-2013, 02:31 AM
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Replies: 20
Views: 25,664
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Forum: Insurance Hell
12-02-2013, 02:14 AM
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Replies: 20
Views: 25,664
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Forum: Insurance Hell
06-17-2013, 12:56 AM
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Replies: 20
Views: 25,664
Federal overturn
Thanks for the information. I would hope there is a reference out there somewhere that alludes to Federal employees being approved for a procedure if the FDA has approved it.
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Forum: Insurance Hell
06-10-2013, 01:10 AM
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Replies: 20
Views: 25,664
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Forum: Insurance Hell
06-10-2013, 01:08 AM
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Replies: 20
Views: 25,664
Hi and thanks. It was C5/6 which I hear is the...
Hi and thanks. It was C5/6 which I hear is the most common. Because I had to pay for the surgery, the surgery was done in a Surgery Center rather than a hospital, which saved big bucks. I spent...
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Forum: Insurance Hell
06-06-2013, 01:03 PM
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Replies: 20
Views: 25,664
ADR Surgery Done, Waiting for Denial.
Hello everyone. I have BCBS as my insurer under the federal employee program. I am retired. My primary physician put me through all the paces before referring me to Dr. Kenneth Light in San...
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Forum: Insurance Hell
05-31-2013, 04:45 PM
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Replies: 9
Views: 7,810
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