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iSpine Discuss Ins. Appeal / testimonies in the Main forums forums; Hi all, I have really put a lot of time and effort into building my appeal with BCBS. I have ...

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Old 09-09-2014, 04:50 PM
henry4956's Avatar
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Join Date: Jan 2014
Location: Connecticut, USA
Posts: 48
Default Ins. Appeal / testimonies

Hi all, I have really put a lot of time and effort into building my appeal with BCBS. I have received some great advice from a appeals advocate who works with my wife. One of the things she told me would be helpful would be several testimonies from former patients of Dr. Zeegers. Whether they be Activ-L or Charite. Dr Zeegers sent out emails to a bunch of his patients who have had long term good outcomes and many said they would, but only 2 have actually done it so far.

For any of you who have had surgery with Dr Zeegers and are 5 or more years post-op if you are interested in helping me with your personal testimonies, I would appreciate it. You can PM me and I will give you the pertinent details needed. I will be sending my appeal out by the end of next week

Thank you,
Henry
__________________
2001 bad fall on ice playing hockey
Apr 2001 lami/discectomy L4/L5 (large rupture)
Aug 2001 lami/discectomy L5/S1
Coccyx dislocated / same fall (Cannot sit)
Aug 2011 pull-start generator - unrelenting low back pain - can only stand for 30 min
Nov 2011 -rhizotomy - makes things worse
22 hours/day in bed
June 2012 - present receiving facet injections every 4 months, only last one helped somewhat
L3-L5 ActivL Surgery w/Dr Zeegers April 16th
Doing great!!!!!
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Old 09-12-2014, 01:41 AM
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Join Date: Sep 2006
Location: N. San Diego
Posts: 254
Default

Henry,

Sorry to be off topic but just in case your appeals expert did not advise you of this cc a copy of your appeal for the insurance commissioner in your state. I was told to do this.

I would contribute to your appeal but I don't consider my surgery with dr. Zeegers was not successful. It relieved me of disc pain and pain from nerve compression but my facets have been screaming for 11 years.
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Jim

2003 L5S1 Charite
1981 L5S1 Discectomy
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Old 10-13-2014, 09:28 PM
vnf vnf is offline
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Join Date: Jul 2014
Location: Florida
Posts: 43
Default I hope this happens more often

Was reading this article today...I hope this happens more often!
The insurance companies just don't want to pay for an ADR when they should be.

Judge orders Insurer to pay for ADR:

http://www.legacyhealthstrategies.co...ay-for-ADR.pdf
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Old 10-14-2014, 03:26 PM
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Join Date: Sep 2006
Posts: 2,405
Default good to read

Vicki
that was a good read, thanks!
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