Blue Cross Denied Fusion - Help Needed

[dshobbies]

Hi C and welcome to the forum,

First, we've heard this story before. Stay after them but first, find out how their specific appeals process works. It would also help if you have a doctor in your corner willing to do battle with these sobs, saying that nothing less would have helped ease her pain, only prolong it.

Mark has a book in his library about the health insurance appeals process. It would help in drafting your appeals.

Lastly and I hate to say this, but if all else fails, sue the crap out of these people. (sorry to be so blunt) They won't cover ADRs because fusion is the main stream but they won't cover that either BS.

Good luck, Dale