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Old 05-27-2008, 02:35 PM
ChainedJane ChainedJane is offline
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Join Date: Apr 2008
Posts: 18
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Hi Bill,

Here is the short and not so sweet of it all. I was scheduled for a Prestige ADR for my c/6-c/7 herniated disc on 4/23/08. The precert went through my insurance which is CIGNA. I was at the hospital and all ready to go into surgery when an admin from the hospitals insurance end called and told my surgeon that CIGNA just called and revoked/denied the claim for the surgery and said they would cover fusion but not Cervical ADR (Prestige). I then got a CIGNA denial letter from Dr Rudolph Cane saying it was experimental. I am appealing and my lawyer just found out that Dr. Rudolph Cane from CIGNA is just an internist and is not trained in Neuro/ortho. He has no clue what the ins and out of the surgery are because he has never been trained, so I was advising people to check up on that "insurance" doc that is denying their claim...make sure he is not just an internist...but a specialist!. The P.S in my message was in reference to Dick Salmon who is the senior med director at CIGNA....and when people send in appeals they need to care execs within the insurance company as well as State Insurance comission execs etc... I was giving Dr. Salmons mailing address incase a CIGNA victim may need it for an appeal...the address I used was for Dr. Salmon on Cignas website. I will have to do some double checking if you think it does not exist and ask CIGNA why they are posting phoney address's! So thanks for the info! Also...I was like you...How can they revoke/deny my claim if they let me get allllll the way almost into surgery...well I find out now that I am a lucky one because...not only can they do that...they can come back AFTER your surgery, after a precert and still deny you. Yeah...aint that a peach! Did you ever get rembursed for your surgery by your insurance?

Thanks,
Janey
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*c/6-c/7 herniated disc /pinching nerve causing extreme and radiating pain in back-neck and nubness in left arm and compressing spinal cord from 13mm to 6 mm- cervical steriod injections-physical therapy-lots of meds-*

CIGNA insurance revoked my F
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