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Old 04-02-2013, 11:56 AM
Running11 Running11 is offline
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Join Date: Jan 2013
Posts: 187
Default External review denied; lawyer?

Hello Friends,

Has anyone had any luck from the assistance of retaining a lawyer in getting their ADR/fusion paid for ? I have already completed BC/BS appeal process and have been denied at the external level (third party reviewer) . I need to start working on the next steps. I am not giving up and my husband is not going to support a trip oversees. (although, I still working on him, too!)

Thank you.
Tammi:
__________________
disc bulges C 4-5 and C 5-6
EMG evidence nerve root blockage at C6, C8 and L5
Cogential moderate-severe cervical/lumbar stenosis
Cervical compression with clinical myelopathy with Hoffman's
Tests; MRI's, EMG/NC studies, discogram, CT scan
Pain management; tens unit, ice and heat, physical therapy, chiropratic care, and spinal epidural treatments.
Blue Cross / Blue Shield of Ohio external third party approved Pro-C ADR at C 5-6 on 4/3/13
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