Running, that's outrageous. I can't help but wonder if the reviewer was a podiatrist or dermatologist; anything but a neurologist. There was another poster on this site a few years ago that had this same issue. I don't recall her handle; but by the time she stopped posting she still didn't have a resolution.
If I understand correctly, BCBSOH approved one level and not the other, but then the external reviewer decided that you didn't need either? So now they want to relegate you to a life time of pain killers?
I wish I had some advice for you. In Texas we have a state insurance board to which these things can be appealed. Does California have such a process?
Good luck, Jeff
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C4/5 - ACDF in 2000
C5/6 - ACDF in 2002
C3/4 & C6/7 - M6 ADR, Nov 2009, Barcelona
Conceded defeat to a manifestly disingenuous BCBS-TX in my quest for reimbursement, Jan 2011
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