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Old 04-06-2013, 04:52 PM
timmyat timmyat is offline
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Join Date: Apr 2013
Posts: 6
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Quote:
Originally Posted by Running11 View Post
I just got approval from BC/BS of Ohio at the external level I fought like a bulldog .
I needed a two level and they approved one. They denied the other one because said it wasn't medical necessary. My doctor said the one they approved was better than the one they denied.

I have 6 documented cases they paid for. PM me if you still need help. I would love to provide you with that information. I hate Bull Crap Bull ****. (BC/BS). However, these cases didn't help.

They based my approval on an EMG study that showed a nerve root blocked. you need as many opinions as you can gather along with letters and every test you can provide them with.

Tammi, congrats on getting your approval!!

The info you provided will be a HUGE help for me!! I am glad to see that names aren't needed to prove precedent and I will definitely leave your name out. If I have any other questions I'll PM you. Thank you again!!
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Cervical DDD: C5-C6
Lumbar DDD: L3-L4, L5-S1
DecompressionTherapy
Neck & Back Epidurals
Physical Therapy
Lumbar Discogram
L3-L4 Fusion approved
L5-S1 ADR denied
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