According to my Doctor he was told by the Charite Rep that the Insurance Co's decided to review ADR longer and not to make a quick and hasty decision, imagine that....theres a surprise....
And after praising him here for taking up my cause, he decided to push back and let me take care of my own appeal due to the fact his practice has over 20 patients that were denied since December and his insurance coordinator didnt want to take on that many appeals...go figure.
Good news for some is the few WC cases he had for Charite, have gone through with no issues, paid in full....(here in NC that is)...
So Ive put together a 200+ page document to counter my insurance companies denial that ADR is an an "unproven service".....
Hopefully I have "Proved" it is "Proven"..hehe
I feel like I am writing a college term paper !! blah...
John
Greensboro, NC
DDD L5-1
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John
Greensboro, NC
DDD L5-S1
Lost all ADR Appeals w/ UHC PLIF Fusion L5-S1 on 5/17/05.
Pars Defect L3-L4
DDD L3-L4 L4-L5
3 LVL Fusion Scheduled 4/08
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