Paul you can go to the website for Aetna and get their policy on ADR. They approve at least one level. I have asked others to give me their approval letter with all identifying info blacked out so I can use this with my appeal letter to show our insurance company that others are approving this procedure. It does not violate HIPPA if you yourself provide the info and there is no identifying information on the letter. Also HIPPA only applies to healthcare providers and insurance companies etc. It does not apply to the private citizen.
I think it stinks that we have to get all this stuff ourselves but if we want it done we have to do it.
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Kim
Herniated disc L5/S1 2000 Discectomy 10/2003 Rhizotomy 8/2004 and 3/2005Discogram 11/04 grade 7 tear L5/S1
L4/L5 Grade 5 tear with herniation and stenosis
Evaluated by Dr Blumenthal at TBI
2/2005 ADR 2 level recommended
2 level lumbar fusion
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