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Old 02-24-2005, 08:44 PM
NCFUSED NCFUSED is offline
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Join Date: Jan 2005
Posts: 128
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I guess I am venting today, but after working on my appeal, I decided to do a Google Search on the Doctor that was the "Medical Director" who denied my pre-certification.
Well he turns out to be an Internal Medicine Specialist who is Board certified in treating Diabetes, and that is what he practices. Now my
medical denial was sent from "The Home Office" in Plano, TX, this Doctor practices in Massachusetts. You would think they would at least get an Orthopedist to "deny" the claim...
What does this guy know about the latest technolgies in Spinal Surgery???

My guess is, he gets hundreds of these claims a month a probably spends a max of about 5 minutes on each.....

I love Insurance Companies.....

John
DDD L5-1
__________________
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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