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Insurance Issues Discuss wanted to share MY insurance definitions and thoughts in the Main forums forums; Actually as one who has been recently rejected by United Healthcare, I can tell you that they do not have ...

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Old 06-04-2009, 05:52 PM
Junior Member
 
Join Date: May 2009
Location: Charleston, SC
Posts: 23
Default 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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Old 06-05-2009, 12:54 PM
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Join Date: May 2009
Location: Southern Indiana
Posts: 40
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i would love it, but I don't have a personal fax, just a work fax, and that may not look good if someone else sees it.
__________________
Herniated L4/L5 May 2004 (Bed ridden)

Discsectemy June L4/L5 2004

Discssectemy L4/L5 January 2007

MRI May 5th - showed "moderate sizd protruding disk in the the left paracentral location at the L4-5 level which appears to a more porminent comparison to the prior examination" and "appears to impinge upon the exiting nerve root"

May 11th Dr Apptment - Told that another Discsectemy could be done.

Looking for Surgeon for second Opinion
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Old 06-05-2009, 01:56 PM
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Join Date: May 2009
Location: Charleston, SC
Posts: 23
Default I sent you a PM

Check your messages. Hate to bore everyone with the particulars of scanning, etc.!

-----------------------------------------------------------------------------
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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Old 09-25-2010, 05:18 PM
Alynn's Avatar
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Join Date: Sep 2010
Location: Orange Park, Florida
Posts: 1
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Dulishun:
I sent you an email requesting the UHC documentation.

Thanks,
Alynn
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Old 10-12-2012, 08:41 AM
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Join Date: Sep 2012
Location: United Kingdom
Posts: 1
Default wanted to share MY insurance definitions and thoughts Reply to Thread

Hi,

I am new here to this forum. My name is Adamaris Clark. I live in UK and working with theppiclaims. I am here to learn and view my express with each other. The information shared in this post is impressive and good.
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