I have Blue Cross/Blue Shield PPO and have been to 4 orthopedic surgeons (spine specialists) and a neurosurgeon. I just found out the Doctor who denied my first appeal for Blue Cross Blue Shiled only works with foot , knees and hips. He isn't a spinal surgeon. i am about to start my second appeal and wonder if this new found information would help get it approved? I would even consider a hybrid at this point.
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disc bulges C 4-5 and C 5-6
EMG evidence nerve root blockage at C6, C8 and L5
Cogential moderate-severe cervical/lumbar stenosis
Cervical compression with clinical myelopathy with Hoffman's
Tests; MRI's, EMG/NC studies, discogram, CT scan
Pain management; tens unit, ice and heat, physical therapy, chiropratic care, and spinal epidural treatments.
Blue Cross / Blue Shield of Ohio external third party approved Pro-C ADR at C 5-6 on 4/3/13
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