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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
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In my quest for information for my Insurance Appeal I have found the following:
http://www.kff.org/consumerguide/ http://www.healthinsuranceinfo.net/ http://www.naic.org/ (has links to each states ins. boards)... Hope this is helpful!
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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 |
#2
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Thanks John!
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Cervical ADR of interest. |
#3
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My read on this is that you cannot use this appeal avenue if the denial is based on the procedure being classified as experimental. I think that seems to be the wording on most denials(it was on mine).
Steve |
#4
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UHC has been using "not a proven service" terminology.
From what I have read "experimental" is used because most of the companies have not changed the wording of their medical policies since before the FDA approved the Charite in Oct. I know UHC was using Experimental, then changed it to unproven...... I would appeal anyway, all they can do is say no....right???
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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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