Vegas-guy,
I had my ADR with Dr .Light also. He's the best. I also have BC /BS; they are the worst. I went through Two levels of appeal and then an external reviewer said they HAD pay. They had such a tantrum my bill was 135,000 and they only paid 35,0000 of the total bill. What a joke. They paid so little and made such a stink.
I know for me it took constant calling almost on a daily basis. Make sure they have ALL your medical records; tests , any doctor's seen , physical therapy , chiropractor care, medications taken and steroid injections, everything you have tried and failed. (MRIs , EMG/NG results; I THINK THESE WERE THE ONLY DATA viewed by BC /BS ; the EMG's. I have not a clue why.
What is the latest update?
How are you feeling?
Good luck and keep me posted. Feel free to PM me .
Tammi
Tammi
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disc bulges C 4-5 and C 5-6
EMG evidence nerve root blockage at C6, C8 and L5
Cogential moderate-severe cervical/lumbar stenosis
Cervical compression with clinical myelopathy with Hoffman's
Tests; MRI's, EMG/NC studies, discogram, CT scan
Pain management; tens unit, ice and heat, physical therapy, chiropratic care, and spinal epidural treatments.
Blue Cross / Blue Shield of Ohio external third party approved Pro-C ADR at C 5-6 on 4/3/13
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