I am so sorry about this outcome for you. This was not unexpected, sad to say. Was your reviewer a physician? Obviously, whoever it was had a pre-scripted response. As I've indicated, as a provider, I have learned that when I get a message to call re pre-certification for a patient, it means the answer is "no." Is there another recourse, i.e., another appeal level?
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2001 MVA; C5-C6 disk extruded
ongoing physical therapy, exercise and massage
ESI's, oral prednisone, trigger point injections
foraminal and central stenosis C5/C6 and c6/C7
2007 EMG/nerve conduction shows pattern of chronic radiculopathy
January, 2008: Prestige ST Artificial Disk Replacement, C5/6
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