1st denial
I have my 1st official denial. BCWW does all the fact checking and validates all international records then they passed it on to my local BCBS of RI and it was denied by them, they said:
it did not meet the medical necessity for the type of service rendered. Unlike other insurance carriers who seem to focus on the whole 'Experimental' thing BCWW seems to be hung up on medical necessity and I really think their definition of medical necessity is tied to 'emergency' vs 'planned' procedure.
Round 1: BCWW
Round 2: just beginning
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Bad fall on A$$, Feb 2001 ice hockey
Lami L4/L5 April 2001, L5/S1 Aug 2001
Severe dislocated coccyx (same fall)
Un-diagnosed til 09. (Cannot sit)
Low back pain mild until 2011 - pull started a generator from knees.
rhizotomy Nov 2011 - zilch
Facet joint inj. 18 mo. (no impact)
Can only stand/walk for approx. 30 min
21 hrs/day in bed
L3-5 Activ-Ls (April 2014) Dr Zeegers - walk every day, swim 3 x week. Pain free, no pain meds. Extremely pleased with my decision
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