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Old 10-26-2009, 03:13 PM
Maria Maria is offline
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Join Date: Sep 2006
Posts: 2,405
Default WC two sides

Dale,
Of course. It's just that my case is very not fraudulent and very stable with good results from same treatment requested, ordered, and given (transforaminal ESIs).

I've been on the same meds for years/same dose and one of the meds (pain) costs $8/mo. Gabapentin is more but WC doesn't want to pay for Lyrica which is even more costly and G works for me so we leave it at that. Then there is my Miralax.

WC wastes $$ with denials for people like me with old cases that are very stable.

Go chase what appears to be obviously fraudulent is what I think vs. giving someone like me more hassle.

Of course I can understand where WC would like to dump me as that would be one less person to cover costs on so prolonging or denying care seems appropriate from the insurance company's standpoint.
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