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Search: Posts Made By: VegasGuy13
Forum: Insurance Hell 02-03-2014, 04:51 PM
Replies: 1
Views: 957
Posted By VegasGuy13
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...
Forum: Insurance Hell 02-02-2014, 02:43 PM
Replies: 6
Views: 3,512
Posted By VegasGuy13
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...
Forum: Insurance Hell 01-30-2014, 07:32 PM
Replies: 1
Views: 1,346
Posted By VegasGuy13
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...
Forum: Insurance Hell 01-30-2014, 06:46 PM
Replies: 17
Views: 7,775
Posted By VegasGuy13
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...
Forum: Insurance Hell 01-30-2014, 06:42 PM
Replies: 17
Views: 7,775
Posted By VegasGuy13
Red face 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...
Forum: Insurance Hell 01-24-2014, 03:24 PM
Replies: 17
Views: 7,775
Posted By VegasGuy13
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...
Forum: Insurance Hell 12-09-2013, 01:31 AM
Replies: 20
Views: 6,765
Posted By VegasGuy13
I hope you are right. Thanks for the info.

I hope you are right. Thanks for the info.
Forum: Insurance Hell 12-02-2013, 01:14 AM
Replies: 20
Views: 6,765
Posted By VegasGuy13
Federal Employee

I am a retired Federal Employee.
Forum: Insurance Hell 06-17-2013, 12:56 AM
Replies: 20
Views: 6,765
Posted By VegasGuy13
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.
Forum: Insurance Hell 06-10-2013, 01:10 AM
Replies: 20
Views: 6,765
Posted By VegasGuy13
Thanks, very encouraging. I appreciate the...

Thanks, very encouraging. I appreciate the supportive comments.
Forum: Insurance Hell 06-10-2013, 01:08 AM
Replies: 20
Views: 6,765
Posted By VegasGuy13
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...
Forum: Insurance Hell 06-06-2013, 01:03 PM
Replies: 20
Views: 6,765
Posted By VegasGuy13
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...
Forum: Insurance Hell 05-31-2013, 04:45 PM
Replies: 9
Views: 3,022
Posted By VegasGuy13
Thank you for this document. I have a very...

Thank you for this document. I have a very similar history and also had to pay out of pocket for my cervical disc replacement.
Showing results 1 to 13 of 13

 

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