I'm in the midst of a battle with Anthem myself. Just got my first denial back today. Am waiting to see if they will approve a repeat discectomy (which will leave so little disc they will have no choice but to do a fusion or ADR), before I decide about the 2nd appeal. Will hopefully know something Wednesday. Evidently our Anthem policy is the only type that does not require pre-cert for lumbar fusions!
Thought this was on my signature already - 2x epidural spinal injections, 3 mos physical therapy, herniation at L5-S1 w/microdiscectomy on 7/5, re-herniation shortly thereafter
Doctor who performed appeal made numerous factual errors based on info submitted by doctor to go with appeal. Does that matter in anything?
Last edited by andrea32225; 09-30-2011 at 08:58 PM.
Reason: adding conditions
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