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Frustrated with BCBS! HELP!
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| Insurance Issues Discuss Frustrated with BCBS! HELP! in the Main forums forums; Did you have any luck fighting BCBS? I recently was denied and would appreciate any assistance in appealing. Thank you.... |
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09-18-2013, 11:51 AM
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Denied by BCBS
Did you have any luck fighting BCBS?
I recently was denied and would appreciate any assistance in appealing. Thank you.
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C6/c7disc rupture Recommended ADR by 2 docs Scheduled for 1 level pro-disc replacement 9/18 Denied by insurance night before Progressive myleopathy in left arm Acdf performed 9/27/13 Possible csf leak/ seroma complication Pain/myleopathy in left arm much improved! 
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09-19-2013, 08:48 PM
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Hi someone is dropping the ball if your surgery was just denied the night before. You did not mention what it was for either. But i have had 10 spinal surgeries in the last 5 years and a lot of them are denied at first. Some times the doctors office does not send in a reqired piece of info. Did you get the reason why it was denied? ONce it was an x-ray for me that the insurance co had wanted. I had broken my neck and needed an extensive reconstructive surgery and i knew they couldn't just leave me like that so i went to the doctors office and called my insurance co and talked to both of them. I asked for them to just give me the darn x-ray and i would do the hour drive to the insurance co to deliver it. Suddenly everything went smoothly and the decision was reversed. Most of the times my surgeon must have a peer to peer review with the insurance co doc and that is when the decision is reversed. so far, knock on wood, they have always been overturned.
I have had one time it was cancelled as the surgeon decided we had a surgeon better equipped in the city to do my case so i understand the disappointment of having it all ready in your mind only to delay it by a lot. Good luck and make sure you post any more questions and let us know the good news when it is approved. judy
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2007 ACDF 4-7 2008 hip , knee scope, hip replacement 2009 thoracic T-5 thru T-11fusion 2009 VATS T7-8, posterior only T11-12. removal of thoracic hard wear 2010 lung surgery 2010 T2-L2 kyphosis correction 2010 Kyphoplasty T-3, T-4 2011 Cervical osteotomy ,revision C4-T5 2011 Foot surgery 2011 Revision fusion T7 thru L4/laminectomy 2012 Hammertoe correction left foot 2012 Revision fusion T-12 thru L5 2012 Revision fusion L4-L5
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09-22-2013, 10:59 PM
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DC_indie, welcome to the forum! Note that the thread you found was posted a few years ago by someone with only a couple of posts. I doubt manderson will see it. You might want to try sending a private message or email to them directly. If you do find him or her, ask if they'll post an update here.
All the best, Mark
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1997 MVA 2000 L4-5 Microdiscectomy/laminotomy 2001 L5-S1 Micro-d/lami 2002 L4-S1 Charite' ADR - SUCCESS! 2009 C3-C4, C5-C6-C7, T1-T2 ProDisc-C Nova Summer 2009, more bad thoracic discs! Life After Surgery Website President: Global Patient Network, Inc. Founder: www.iSpine.org
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