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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  
Old 07-29-2017, 07:53 PM
stanreader stanreader is offline
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Join Date: Apr 2017
Posts: 20
Default 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  
Old 08-05-2017, 10:59 AM
Matthewdds Matthewdds is offline
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Join Date: Jul 2017
Posts: 23
Default

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  
Old 03-27-2018, 09:58 PM
tijeladeacai tijeladeacai is offline
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Join Date: Jul 2017
Posts: 11
Default

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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