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Old 04-22-2005, 08:45 PM
jf110 jf110 is offline
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Join Date: Mar 2005
Posts: 93
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Stan,
I am also a perfect candidate for adr with one level L5S1 adr surgery. I have already been cleared by Dr. Blumenthal for Charite disc replacement at L5S1. However, my insurance company STILL WANTS TO CLAIM ADR EXPERIMENTAL,INVESTIGATIONAL. I just had my 2nd level appeal denied. During my appeal process i sent BCBS a letter sent by certified mail requesting there internal guidelines they use to base adr experimental,investigational. I have yet to RECIEVE ANY INFORMATION FROM THEM ON WHAT THERE GUIDELINES ARE FOR CLAIMING ADR EXPERIMENTAL,INVESTIGATIONAL. THIS HAS BEEN GOING ON SINCE DECEMBER 2004 !!!. It is not over yet!!! Thanks, JF110
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