All we can do is ask
Quote:
Originally Posted by Cynlite
Thanks for starting this thread Cheryl. I doubt my insurance will cover any of my surgery but, I'm sure I'll try anyway. I sure hope you are successful!
Colorado Babe said that the trick is to appeal immediately after they reject you. Not sure why the timing is so important. Perhaps she will add her two cents when she reads your thread. She just kept calling and pushing her cause.
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The only thing I foresee needing later for an appeals process if denied reimbursement; would be documentation on the following:
1. Joint Commission Insurance accreditation for BSC and/or Hospital Quiron
2. ISO compliance
3. Statement showing that this procedure is the standard level of care in Spain and approved by your EMA
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54 yr old female 5'7" 147 lbs. non-smoker conservative treatments failed
2007 fusion @ C4-6 peek cages, failed due to long term use of cox-2 inhibitor
2008 revised C4-6 donor bone, plate & screws
2009 fusion with Roi-C @ C3-4
2015 MRI & CT mjr ddd @ C6-7, segmental kyphosis at C7-T1, 2-level M6-C prosthesis by Dr. Clavel Barcelona Spain
2019 H.O. formed behind M6-C @ C6-7 left nerve rt & in spinal canal.
2020 Revision C6-7 to a CP-ESP prosthesis by Dr. Schmitz Dusseldorf Germany
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