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Old 10-12-2006, 03:06 PM
Maria Maria is offline
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Join Date: Sep 2006
Posts: 2,405
Default hybrid surgery

What amazes me is that a global 3 level lumbar fusion was authorized for me by WC (before reform here in CA/2005) as well as the 2 level ADR but the hybrid surgery with ADR at L4 and fusion at L5S1 was denied and the reasons for denying the fusion were absolutely ABSURD... I mean, you wouldn't believe the crock of crap that was on this lengthy UR denial...

Currently my Nurse Case Manager says she can't even talk with the Claims Adjustor as she gets absolutely no reply unless it's by email and then it's a very limited response so even she is practically out of the loop.

All the bull WC is going thru to deny surgical requests for me is probably costing at least half of what the surgery would have.. it's ridiculous~

WC Reform and cost containment my a**~

BTW, got off subject a bit tho good luck Allan if this is what you want or would proceed with. Myself I think that the $$ spent to go to Europe and have surgery would be well worth it if I had it~ vs. Insurance companies dictating what medical care should be vs. specialists in the field of medicine/surgery and other~
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