Appeal Documentation
I returned from my European surgery and also received my Cigna denial. I am now preparing my appeal. I wonder if there are any attorneys that do this work on behalf of claimants/patients? Does anyone know if they work on a fee-based or contingency-based process? Does it depend on the artificial disc that is implanted, i.e. only certain attorneys work if the disc is a Prodisc versus an M6?
Can anyone share with me their appeal documentation? It seems like Jerry has a great package but I know your surgery is scheduled for this week so I would not impose. Is there anyone else that can share their info & process with me? Thanks.
__________________
1989 – herniated disc at L5-S1
1992 – L5-S1 broad bulging; right L5 nerve root compression; impingement on S1 root within spinal canal;
2006 – DDD L3-S1; disk bulge at L3-L4 and mild facet/ligmentous hypertrophy; L4-L5 large herniated disc; facet/ligmentous hypertrophy with stenosis; disc herniation & dessication at L5-S1;
2013/2014 – Dessication and significant disc height loss at L4-L5 & L5-S1; L3-L4 disc bulge with hypertrophy; mild spinal stenosis; Grade 1 anterolisthesis (3mm); L4-L5 - marginal spurring and moderate hypertrophy causing neuroforaminal narrowing; L5-S1 - moderate-severe neuroforaminal narrowing; lumbar lordosis is straightening.
New pains & functional limitations in late 2013 led to exploring ADR procedures. Consulted with 8 surgeons domestically and 9 in Europe.
May 2014 – Anterior and posterior incisions in a 5-hour surgery resulted in 2 M-6s and one facet joint prosthesis (dynamic stabilization system). On the road to full recovery.
|