Insurance Company Method
Actually as one who has been recently rejected by United Healthcare, I can tell you that they do not have counter studies, but rather suggest deficiencies in the same studies referenced by companies like Aetna who approve it. Examples are that there were not enough participants, etc. The entire basis for the United Healthcare rejection is that the FDA did not give express approval, but only approved it in lieu of 5 year data to be provided by the prosthetic manufacturer (in my case Synthes). If anyone wants all of the documentation that the insurance company relies on I have it as they were compelled to provide it to me on request. Just let me know and I can fax it to you.
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L5S1 Herniation and Annular tear
Over 10 epidurals,
DDD, 2 discograms (positive),
Countless attempts at conservative therapy.
Surgery date 5-26-09
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