So I received a decision today regarding my 1st Level Appeal. DENIED! Their reasoning, that ADR is investigational/experimental. Gee, how original! That's ok. I'm gearing up for my 2nd level appeal. We'll see if I can bury them under more paperwork!
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----Karin----
Disc Bulge C4/C5, Disc Degeneration T11/T12, Bi-Lateral tears L5/S1, Diagnosed w/ Lumbar Disc Derangement w/ Radiculopaphy. Treatment: IDET, Percutaneous Discectomy, SI Joint Injection, Facet Block. All failed. Empire BC/BS Denied Coverage for ADR-lost all of my appeals. MVP also denied coverage.
ALIF/PLIF Fusion 1/20/09
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