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Insurance Hell All insurance-related matters are here: Medicare, worker's compensation, appeals, denials, insights, wins, losses. PRICING is here too. Note: This forum has posts from 2006 forward. Older ones are in the Big File.

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Old 07-29-2017, 06:53 PM
stanreader stanreader is offline
Junior Member
Join Date: Apr 2017
Posts: 25
Default Willing to Share Insurance Submission to BCBS?


I had 3 level ADR with Dr. Clavel in Barcelona in June 2017. I am now putting together a package to submit to BCBS in Utah. I am wondering if anyone who has been through this before would be willing to share the narrative they submitted with the list of exhibits? I'm not looking for confidential information, just a shell, preferably from someone who was succesful?

If anyone has any lessons learned they are willing to share that would be great too!

53 healthy and fit except for neck, shoulder and arm pain and weakness
2015: mountain bike accident and excessive landscape work on new cabin; pain begins
2016: MRI shows at least two bulging discs; physical therapy, jogging and rowing to manage pain
2017: increased pain and weakness following too much downhill skiing in two week period
New MRI shows bulging discs at c3-c4, c4-c5, c5-c6, c6-c7; surgeon indicates need 3 level fusion or ADR
June 2017 3 level adr with m6 Dr Clavel
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Old 08-05-2017, 09:59 AM
Matthewdds Matthewdds is offline
Junior Member
Join Date: Jul 2017
Posts: 23

I am using an insurance advocate to push my insurance company into paying. I found her name off Dr. Bertagnoli's website. She works off a contingency basis. She charges 20% of whatever she recovers. I have no idea if she will be effective, but I believe there is a better chance of recovery w/ someone who does it for a living.

Her name is Missy Conley, and her number is 540-765-1839.
July,2015-L2-3, and L4-5 min. invasive decompression surgery. Surgeon missed areas.

February, 2016 -Same surgery, same failed result.

Have tried everything including prolotherapy, and stem cell injection.
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Old 03-27-2018, 08:58 PM
tijeladeacai tijeladeacai is offline
Junior Member
Join Date: Jul 2017
Posts: 12

You should file the claim via BCBS global/core not local.
A friend of mine got reimbursed from his surgery in Germany. No phone calls, no questions asked.
06.12.2017 - microdiscectomy
04.25.2018 - DEXA bone scan performed showing mild osteopenia -1.7
08.16.2018 - L4S1 ADR - LP-ESP performed in Germany
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