This is a discussion on Appeal filed within the Health Insurance forums, part of the Insurance and Travel Forums category; It took my health insurance carrier six weeks to hand me the anticipated denial of reimbursement for ADR surgery. Last ...
It took my health insurance carrier six weeks to hand me the anticipated denial of reimbursement for ADR surgery. Last week I filed my very lengthy appeal with them. I had my cousin who used to be a case manager with Aetna review my appeal. After I made all of the several changes that she suggested, she said that she thinks that I have a good chance of a favorable review.
I'll keep you posted. Wish me luck!
C4/5 fusion, January 2000
C5/6 fusion, February 2002
C3/4 & C6/7 - M6 ADR, Nov 2009, Barcelona
Conceded defeat to a manifestly disingenuous BCBS-TX in my quest for reimbursement, Jan 2011
Justin Averna
Founder & President, Spine Patient Society™
www.SpinePatientSociety.org
A 501(c)(3) Tax-Exempt Nonprofit & Charitable Organization
I'm here to help.
- 1994: Football Injury, Severe Hyperextension
- 1997: Snow Skiing Injury
- 3/7/1997, 17 years old: Laminotomy L4/L5
- 1999 & 2003: Motor Vehicle Accidents (not at fault both times) --> Grade V Annular Tears L4/L5 & L5/L6
- 11/15/2003, 23 years old: 2-Level ProDisc® L4/L5 & L5/L6*, *lumbosacral transitional vertebra --> Dr. Rudolf Bertagnoli
- 4/2008: 4.5 years pain-free before "new" leg pain
- 5/14/2009, 29 years old: Dynamic Stabilization System L4/L5, Dr. Rudolf Bertagnoli
Questions? Suggestions? Need help with registering, creating a signature, etc.?
justin (at) spinepatientsociety.org
Disclosure: I have no financial relationships with any surgeons, spine clinics, device manufacturers, pharmaceutical companies, hospitals, etc. -- the SPS Board of Directors serve without compensation.
HI THEre...I was reading ur post and wondered how ur case ended..where u approved by ur insurance? If so, I was wondering if u could share ur apeal with me. You can pm me. I appreciate any info u share.
Thanks. Claudia
UOTE=jss;10768]It took my health insurance carrier six weeks to hand me the anticipated denial of reimbursement for ADR surgery.
I'll keep you posted. Wish me luck![/QUOTE]
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