FYI - I asked them to exclude my Prodisc device since they are saying it is experimental & they have still denied paying ANYTHING for the surgery wich is the same prep as a fusion except the device is different or paying anything for the doc - even thoguh other insurances have paid this way excepting the Prodisc - & their own BCBS in other states have paid for all or some of it - They are saying I have 90 days to appeal but this now requires an atty to be hired by myself according to their ltr.
This is in Tn.
I had ONLY asked for 60% of the 21,5k minus 3 k fopr the disc cost I ahd surgery voerseas - & Dr. Bertangoli is now a preferred provider by BCBS
IF ANYONE knows of any atty. willing to take cases like this please PM me - seems most atty's dont like to have to go after insurances being told it takes too long - seems to be quite a racket - Jill
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