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Old 04-15-2014, 11:48 PM
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Kelly4ADR Kelly4ADR is offline
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Join Date: Jan 2014
Posts: 259
Default Surgeon appeals second time

My spine clinic emailed me today to say that my surgeon worked with LDR (mobi-c manufacturer) , signed and sent the second appeal off via fax to Aetna today. She sent me a copy. If anyone would like to see it PM me with your email and I'll forward. If it gets approved ill post it in the approved appeals thread. I am anticipating that it won't, however.
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2004 MRI -cervical bone spur causing pain
2011 MRI -5 bulging discs at C3-7: Recommended C5-6 and C6-7 for a two level fusion, I said no thanks.
2014 MRI -progressive compression C5-7.
MRI 6/5/14- Ruptured L4-5, bulge at L2-3 and L5-S1 Dr recommends discectomy of L4-5 but won't do surgery until cervical is stable
8/2014- 8 months/3 rounds of appeals, Aetna denies 2 level cervical ADR
2 level ADR w/ mobi-c C5-7 Jan 7, 2015
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