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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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#1
07-29-2017, 06:53 PM
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Willing to Share Insurance Submission to BCBS?
Hi,
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! Thanks,
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Stanreader 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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#2
08-05-2017, 09:59 AM
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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.
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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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#3
03-27-2018, 08:58 PM
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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.
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_________________________ 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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