View Single Post
  #11  
Old 03-14-2006, 12:26 PM
go*big*red go*big*red is offline
Senior Member
 
Join Date: Jun 2005
Posts: 123
Default

So, how do you find out who has reviewed your case dr. wise?

And, what were the denials based on? What UHC has said is that it's still experimental!!!!! So, Charite' people sent a packet to accompany the rest of the stuff to the "independent" review.

There is no question that I need surgery. And, they are more than willing to approve a fusion. Grrrrrrrrrr. I'm almost at the point of buying more time with a second fusion at L4/5 and then in a year or 2 (when the pain becomes unbearable at L3/4) do an ADR at that level. Shouldn't have too much trouble then getting it approved.

That is if this is denied. My other option is perhaps going to the insurance commissioner of Colorado. I have dealt with them with one of our employees vs our group health insurance and the employee won. It was actual payment of claim, though and not preauth. But, that might also be worth a try.

But, I don't like the way my thoughts are running. I want approved. Plain an simple.

Thanks for all the replys. I'll keep you posted. I like the idea of being the first of many.
__________________
Juvenile Discogenic Disease
2 level ACDF C5/6, C6/7
Redo on C6/7
PLIF L5/S1 - hdwr removed when C6/7 revision
PLIF L4/5 & Dynesys L3/4 10/10/06. Looking forward to living again.
Reply With Quote