New news from my doctor's office yesterday concerning my first appeal:
BCBS has notified my doc's office that they have received and reviewed my appeal information submitted solely from my doctor's office. They advised us to "hold out" till July 1, 2005 and resubmit my claim (precert) to them. The AMA has new codes for the ADR procedure that will take affect then. Right now, the codes submitted are not specific to this process.
Well, BCBS is not saying that they will give me the go ahead with the new codes-- but it is the most (almost) positive thing I have heard from them to date. I know there has been a lot of talk about coding in this forum. I have followed it all. I also realize that bcbs may just be wasting some more of my time. Only time will tell. I have been checking into other ways to get this done and will not hold my breath for bcbs to come through.
I will post again after I hear something after 7-1-05. I have only been waiting since the end of February!!!!!!!
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L5/S1 Ruptured DDD
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