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Old 06-06-2013, 01:16 PM
NJ Gene NJ Gene is offline
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Join Date: Feb 2013
Posts: 376
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Hi Vegas Guy,

For whatever it is worth, I've been told that in most cases BC/BS will not pre-authorize ADR. However, I know of people who have been told this regarding surgeons in Europe and were in fact paid after the fact. If your surgery was done in the U.S. under FDA guidelines (it sounds like it was) I believe you have a good chance of ultimately getting reimbursed. It may take a couple rounds of appeals, but I think you have a chance, especially if your surgeon is willing to assist you during this process.

The most important thing is that you had the surgery done and are doing well.

Gene
__________________
Car Accident 2002 - Small Herniated Disc C3/C4
1998 Larger Herniation and Cervical Fusion C3/C4
2005 Herniation C4/C5 - 40 epidural steroid injections from Oct 2005, - Oct, 2007
2008 - Foraminotomy at C6/C7 on left side
Feb, 2010 - Cervical Fusion C4/C5
Dec, 2010 - Lumbar Fusion L3/L5
2013 - Bulge on C5/C6; herniation C6/C7 right side
Mar 26, 2013 - Foraminotomy at C6/C7 on right side
May 5, 2015 - ADR with Dr Blumenthal of TBI for C5/C6 using Mobi-C
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