If I recall when I was dealing with denials, each time they gave me a different reason for denying. Make sure you're providing evidenced backed practices to refute the denial. Don't forget to include articles that show ADR is less costly and healing is faster thus saving insurance thousands of dollars in the long run. I also contacted my congressman who helped me tremendously since my insurance is Tricare and my injuries were all service connected.
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1998- Injured neck and back in USAF
2011 - Started experiencing Severe Symptoms, Migranes, numbness, spasms in legs and feet and sciatica.
Feb 2014 - Received upper Lumbar Injection - Severe Allergy to injection
Mar 2014 - MRI of Cervical and Lumbar, protruding disc in C3-7, Herniated Disc in L5/S1, placed on STD and FMLA )
July 2014 - Stem Cell Procedure performed
Oct 20, 2014 - ADR (MOBI-C) at C5-7 and Anterior Fusion at L5/S1 by Dr. Pettine and Dr. Techy
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