I am fighting BCBS of Oklahoma. I was denied my precert in early March. During the first appeal that my doctor was submitting, his office was finally told to "just hold off till July 1, 2005 because that is when the newly adopted AMA codes will be recognized by the insurance company." It seems that the codes currently used are not specific to the process of ADR. BCBS didn't say they would accept my precert at that time, they just said to wait and use the new codes. Maybe this is good, I don't know yet. Good luck with your fight. You are on the right track: take control of your health, become as informed as you can be, don't settle for something you don't want, and most of all--never give up!!! Welcome to the family.
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L5/S1 Ruptured DDD
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