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Old 03-01-2007, 07:25 AM
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Terry Terry is offline
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Join Date: Oct 2006
Posts: 1,210
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I just received notification of the following:

Blue Cross paid for my 4 level ADR Surgery in Germany. I just received notice that the amount billed was $61,860.57 by the hospital and that was the amount paid by Blue Cross Michigan.

The hospital I went to wired me the refund yesterday as I had paid cash for the surgery.

I never appealed Blue Cros's original denial so I am shocked that it was paid. They originally denied it claiming it was investigational.

I am a health care provider and understand Blue Cross terminology very well. Blue Cross does not pay claims unless they determine medical necessity. My belief is, after looking at my medical records, they determined, in my case, that the procedure was the best course of action and medically necessary.

I am very happy with the money and it will go in to the Terry and Elizabeth Newton retirement fund.

This is proof that some get paid and there is no reason why this technology is not getting covered regularly. I hope all are as successful. For the ones that have not been I will be glad to lend my name in your appeals to help yours get approved.

Terry Newton
__________________
1980 ruptured L4-L5
1988 ruptured SI-L5
1990 ruptured C5-C6
1994 ruptured C6-C7
1995 Hemi-Laminectomy C5-C6, C6-C7 Mayo Clinic
Bicycle Accident 2004
MRI, EMG, Facet Injections, Epidural Blocks, Lumbar Discogram.
Stenum Hospital Surgery November 4, 2006
Prestige Disc C5-C6, C6-C7
Maverick Disc S1-L5, L4-L5
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