External Appeal
My third and final round of appeal is being sent in the morning. I'm very thankful that I had so much help from My Dr. And his staff, as well as Gail at MCRA who finalized my appeal paperwork, including letters and chart notes from my Drs, the documents prepared by me personally and her 81 page packet of support documents. Any prayer warriors out there, feel free to offer some words up for me.
I'll post the results of the determination when I receive it, of course!
Drum roll please......
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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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