Thread: bcbs
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Old 10-16-2005, 03:19 PM
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hello all
im new here but not new to ddd.
i'm in process of battling with bcbs [3rd appeal}
my mom has been helping with the appeal letters,but after the 2nd denial she was out of steam.well she also works for tampa gen hosp and out of ways to apoach these bone heads discovered this info about
bsbc tec.she also found a wonderful lady whom writes letters for the hospibal clinical appeals.note shes a
subcontractor that owns her own company doing these letters.well the nice lady offered her services to us free.after she finished the letter this morning my mom found this info i thought you all dealing with bcbs would be interested in. heres the email I don't know how much more time you can spend on this - but here is a thought. It seems that BCBS has based everything on the TEC Assessment. I question the credentials of the technical advisory panel as it relates to orthopaedic surgery. See link below for the physicians on this panel. None have specialties in orthopaedics.

http://www.bcbs.com/tec/map.html

I stumbled on this when trying to find a TEC on BAK fusion. I was wondering what that said about that since the FDA study for CHARITE compared the artificial disc to the BAK fusion procedure. Couldn't find anything. Makes one wonder what they do provide their subscribers. Heavy drugs when all else have failed?
god bless and good luck to all
chuck
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