Blue Cross Blue Shield ADR Denial finally reversed

[staci70]

Originally Posted by Harrison

Indeed, good news from Laurie Todd and her ADR client! Great work!

That being said, I deleted the actual (edited for template) appeal, written by Laurie and her client, from Zorro's message. I don't care to help the people working AGAINST patients by giving them helpful insights into our battles against them! If you need it, simply email me - or Zorro.

I just finished reading Laurie's Books and I'm preparing my appeal. Can you please send me the template when you have a chance?

Thanks,

[brianw48]

Does anyone have copies of Approval letters from Anthm/BCBS of California, for Cervical ADR?

I would very much like to have some names and examples of approvals for my appeal.

If you have an Appeal letter that worked with Anthm/BCBS of Californis, I would be interested in that as well.

Feel free to email to: brianw6212@gmail.com

[brianw48]

My name is Brian, and I have Anthm/Blue Cross of California Insurance.
They have denied my request for Artificial Disc replacement at C5-C6, even though my Dr. has stated that I am a perfect candidate for it. BCBS of CA calls it Investigational/Experimental. Has your insurance company (BCBS of CA specifically) paid for it after a denial? If so, I need reference information to prove precedent that they have paid for other people.

I will use your information in an appeal letter only,

I need your:
1. First and last names
2. Name of insurance company
3. Date of ADR
4. Doctor's name

Please send to brianw6212@gmail.com

[semathes]

I would like to join forces with anyone who has experience with Anthem BCBS or any other BCBS for that matter.

I'm in need of any successful coverages, appeals, court cases, etc. for lumbar ADR.

[VegasGuy13]

Originally Posted by ZorroSF

just received an email from Laurie todd about a successful ADR reversal.

Hi

In your message re: Laurie Todd you mention a copy of the successful appeal and a book. I don't see either here. I must appeal a C-5/6 denial and need all the help I can get. Please let me know where I can go to get this information. Thanks very much.

Larry

[Jen93312]

I don't know how to include a link but you can do a search for the insurance warrior to find what you are looking for.

[VegasGuy13]

My name is Larry Lipzen, and I have Blue Cross/Blue Shield of Insurance. BCBS has denied my request for an artificial cervical disc replacement. Has your insurance company paid for it? If so, I need
your:
1. First and last names
2. Name of insurance company
3. Date of treatment
4. Doctor's name
5. Date that the insurance company made the decision.

In my case, I paid up front for the surgery, but now want to be reimbursed. I am using Laurie Dodson's book as a guide and getting this information is vital.

Thanks so much

larrylipzen@comcast.net

[VegasGuy13]

If anyone can provide me with a recent successful template for an appeal for a artificial cervical disc replacement claim it would be very much appreciated. I am just beginning my appeal development now.

Thanks in advance,

larrylipzen@comcast.net