Information on successful appeals
Hi Harrison,
I am now having to appeal the surgeon portion of my ADR. I was paid for the surgery center. I would appreciate info on precedents for allowing cervical ADR from BCBS and other insurance companies. I am appealing to BCBS in California. I am a federal employee retired. Also any actual language used in the appeals especially regarding investigational and medical necessity issues. I will be glad to share my appeal with you when it is completed and especially if it is successful.
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