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The Big File All issues not easily categorized in the above forums are here. Comments on general health, diet, "getting comfortable," and more are here.


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  #1  
Old 02-11-2005, 09:45 AM
NCFUSED NCFUSED is offline
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My Doctor's Surgical Coordinator was told by the Charite Rep, that the major insurance companies (UHC, Aetna, BCBS) were meeting this month to decide whether Charite ADR should be removed from Experimental Status and be approved for payment???

Has anyone else heard this?????

John
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John
Greensboro, NC
DDD L5-S1
Lost all ADR Appeals w/ UHC PLIF Fusion L5-S1 on 5/17/05.
Pars Defect L3-L4
DDD L3-L4 L4-L5
3 LVL Fusion Scheduled 4/08
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  #2  
Old 02-12-2005, 09:33 AM
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John, I have not heard anything, but that does not mean a thing. Thx for passing on this info, it sounds hopeful?!

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Fell on my ***winter 2003, Canceled fusion April 6 2004
Reborn June 25th, 2004, L5-S1 ADR Charite in Boston
Founder & moderator of ADRSupport - 2004
Founder Arthroplasty Patient Foundation a 501(c)(3) - 2006
Creator & producer, Why Am I Still Sick? - 2012
Donate www.arthropatient.org/about/donate
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  #3  
Old 02-14-2005, 03:02 PM
NCFUSED NCFUSED is offline
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A friend pointed me to the following article mentioning a February Insurance CO. MEeting....

http://health.yahoo.com/news/57612

Lets cross our fingers!

John
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John
Greensboro, NC
DDD L5-S1
Lost all ADR Appeals w/ UHC PLIF Fusion L5-S1 on 5/17/05.
Pars Defect L3-L4
DDD L3-L4 L4-L5
3 LVL Fusion Scheduled 4/08
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  #4  
Old 02-24-2005, 02:50 PM
NCFUSED NCFUSED is offline
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According to my Doctor he was told by the Charite Rep that the Insurance Co's decided to review ADR longer and not to make a quick and hasty decision, imagine that....theres a surprise....

And after praising him here for taking up my cause, he decided to push back and let me take care of my own appeal due to the fact his practice has over 20 patients that were denied since December and his insurance coordinator didnt want to take on that many appeals...go figure.

Good news for some is the few WC cases he had for Charite, have gone through with no issues, paid in full....(here in NC that is)...

So Ive put together a 200+ page document to counter my insurance companies denial that ADR is an an "unproven service".....

Hopefully I have "Proved" it is "Proven"..hehe

I feel like I am writing a college term paper !! blah...

John
Greensboro, NC
DDD L5-1
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John
Greensboro, NC
DDD L5-S1
Lost all ADR Appeals w/ UHC PLIF Fusion L5-S1 on 5/17/05.
Pars Defect L3-L4
DDD L3-L4 L4-L5
3 LVL Fusion Scheduled 4/08
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  #5  
Old 02-26-2005, 06:35 PM
NCFUSED NCFUSED is offline
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Read this this morning, J&J is saying One of the BIG 3 is going to start approving ADR in about 2 weeks (article written on 2/24) but wont say which (hope its my co,) ....link below.

http://news.morningstar.com/news/DJ/M02/D24/20050224160...SDJONLINE001284.html
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John
Greensboro, NC
DDD L5-S1
Lost all ADR Appeals w/ UHC PLIF Fusion L5-S1 on 5/17/05.
Pars Defect L3-L4
DDD L3-L4 L4-L5
3 LVL Fusion Scheduled 4/08
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  #6  
Old 02-26-2005, 07:03 PM
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Harrison Harrison is offline
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Well, that's encouraging! It's about time these people do the math!

It's unfortunate that the very positive comparison between ADR and fusion was not published earlier...this is exactly the kind of info that the almight beancounters need to justify the "expense" of alleviating peoples' pains.

__________________
"Harrison" - info (at) adrsupport.org
Fell on my ***winter 2003, Canceled fusion April 6 2004
Reborn June 25th, 2004, L5-S1 ADR Charite in Boston
Founder & moderator of ADRSupport - 2004
Founder Arthroplasty Patient Foundation a 501(c)(3) - 2006
Creator & producer, Why Am I Still Sick? - 2012
Donate www.arthropatient.org/about/donate
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