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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
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CIGNA denied two-level, L4-S1, ADR w/Pro-Disc at UCSF, San Francisco California.
Is there a template for a successful appeal? Dr. Derby gave me the ESI procedure(epidural steroid injection) or Selective Nerve Root Block, 10/10/07. It will be used as a diagnostic also. Somehow it will be related to the facet joints. Dr. Derby is a thumbs up gentleman with a great staff, smiles. I think he is world class, and he is a straight shooter.
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---------------------------------------------------------- slackwater_sf 2004 MVA, 2-level lumbar surgical candidate |
#2
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Call me this week, I'll provide a template, resources and consultants that may be able to help you.
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"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 |
#3
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Quote:
ADR is probably available if I pay for it myself, in this country or Germany. That poses the big question, "am I convinced yet?" I'm convinced I want to change my physical condition to avoid living with disability for 30-X0 more years. There are trade-offs in other dimensions of health with limited physical activity, (ref: JAMA walk 1/4 mile in 5 minutes or ... ). The last procedure was a Selective Nerve Root Block (SNRB), aka Epidural Steroid Injection (ESI). I think this may also be a diagnostic on the facets, one of my un-answered question from visiting UCSF. I want the diagnostic on the facet joints and we'll see if this patient still qualifies for ADR/TDR or ... NASS annual mtg edition of Spine is online with some open access to articles. NASS annual mtg abstracts online also.
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---------------------------------------------------------- slackwater_sf 2004 MVA, 2-level lumbar surgical candidate |
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