Well now my insurance company has actually denied the ADR authorization--I know it's a common thing to have it initially denied, but my surgeon had already written a letter with a detailed spine history and his recommendations for them. Since they denied that attempt, he's going to do a peer review with the insurance on Monday. I'm sure it varies between insurance companies, but has anyone else ever had this happen? I'm wondering how long it usually takes to get an answer once they do the peer review.
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33-year-old female
C3/4 Disc bulge and bone spurs
C4/5 Disc protrusion
C5/6 Disc extrusion with cord compression, bone spurs due to uncovertebral arthropathy, right foraminal stenosis and bilateral nerve compression.
C6/7 disc protrusion
Lost appeals for ADR. C5-6 ACDF on 3/10/16
ACDF never fused, and ACDF accelerated damage of the other levels. Someone please kill me.
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