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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 07-02-2007, 07:46 PM
Abbe Abbe is offline
Join Date: Feb 2007
Posts: 61

Hello all,

Today I stumbled upon this new study done by "TEC" Technology Evaluation Center assesment program. The evaluation states 5 criteria at the end of the study that they feel must support ADR effectiveness in order to approve the device and cover it under their plans.
Water ski accident 86'
Chiropractic& PT Pain meds
Discectomy Laminectomy
L5 S1 Partially sacralized
97' epidural injections
L3 L4 ruptured and torn
L4 L5 Almost no disk height left along with osteophytes
Left leg pain and tingling going down back of leg into heel & foot
3 appeals with BCBS no success Lost insurance.
Kaiser Permanente
L3-L4, L4-L5 Prodisc 9/18/09
C5-6 & C6-7 ruptured and looking at hybrid surgery fusion & Prestige ADR
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Old 07-03-2007, 10:25 AM
Harrison's Avatar
Harrison Harrison is offline
Join Date: Oct 2004
Posts: 7,014

It's interesting to see "better knowlege" as part of the URL, as their site includes data and research that is a tad, rusty. E.g. 1997?! Wuddupwidat?

Citing the age of some of this data can only help you with your appeals!

Thx for sharing. Just a reminder, many BCBS companies HAVE paid for ADR, so it's up to you to learn how to play their cruel game of appeals.
"Harrison" - info (at)
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
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Old 07-03-2007, 07:30 PM
ans ans is offline
Senior Member
Join Date: Mar 2005
Posts: 1,596

Good point Harrison.

Thanks for digging this up.
Severe, extensive DDD, considered inoperable by Dr. Regan, Lauressen, & some guy at UCLA. Severe foraminal stenosis (guess they can't operate!) and some spinal cord compression that Lauryssen would fix if gets outta hand.
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