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Old 09-03-2014, 10:34 AM
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henry4956 henry4956 is offline
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Join Date: Oct 2013
Posts: 250
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So far in the whacky world of BCBS I have received (2) different reasons for denial. Via phone days before I received the official denial in mail I was told that it was all about the 'emergency' vs 'planned' thing. In the mail they said ADR was not appropriate for 'ongoing low back pain' & lack of peer reviewed evidence concerning ADR.

Excuse me I had severe DDD, but because they insisted that I only send them documents pertaining to the surgery they did not see testimony by 3 spine docs concerning my severe DDD. This is crazy

Now the icing on the cake. They have so far sent me 2 checks. One for $140 the P.T. cost & one for $600 the cost of the ambulance, the last one ($600) came days after the denial letter. all together now boys 1-2-3 puke
__________________
Bad fall on A$$, Feb 2001 ice hockey
Lami L4/L5 April 2001, L5/S1 Aug 2001
Severe dislocated coccyx (same fall)
Un-diagnosed til 09. (Cannot sit)
Low back pain mild until 2011 - pull started a generator from knees.
rhizotomy Nov 2011 - zilch
Facet joint inj. 18 mo. (no impact)
Can only stand/walk for approx. 30 min
21 hrs/day in bed
L3-5 Activ-Ls (April 2014) Dr Zeegers - walk every day, swim 3 x week. Pain free, no pain meds. Extremely pleased with my decision

Last edited by henry4956; 09-03-2014 at 12:55 PM.
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