Mark,
Boy, these posters make some good points here. When I was looking at trying to get ADR stateside - Anthem BCBS was my 3rd party payor source. And yes - they denied everything. Actually, as a case manager in the hospital - I have found that they will try to deny everything and anything.
BCBS - no matter which state they are out of needs to benchmark their data with the European experience and those patients that have been through the clinical trials et al. Regardless if they like it or not - their actuaries are going to realize that this IS going to be a "standard of care"!!!
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