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Insurance Hell This is where any insurance-related matters are found. Medicare, worker's compensation, appeals, denials are here. Questions, comments, insights, wins and losses on any insurance are all here! Note: This is a new forum and includes posts for 2007 only. Older ones are in the Big File.


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  #1  
Old 03-05-2008, 11:07 AM
Cali310 Cali310 is offline
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Join Date: Mar 2008
Posts: 9
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Hi All,

I am in the process of appealing Blue Cross' denial for my 2-level lumbar artificial disc replacement. Can anyone offer approval letters for their surgery from Blue Cross? It would benefit me greatly to have copies of these for my appeal since they are approving some individuals and not others.

Thank you..
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  #2  
Old 04-01-2008, 12:53 PM
mmarsh mmarsh is offline
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Location: CA
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I'm appealing also. Sorry I can't help yet. As soon as I'm approved you'll be informed and can use my info at will!

Missy
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fusion L4-5, Dynesys rods L3-4, fusion c5-6 and C6-7, current problem C-7/T-1
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  #3  
Old 04-09-2008, 10:32 PM
Cali310 Cali310 is offline
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Thank you for responding, good luck with your appeals process as well!
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Old 04-10-2008, 09:59 AM
phylly phylly is offline
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Join Date: Dec 2007
Location: orange county, CA.
Posts: 235
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I will also continue my appeals to both BC and BS. I'll let you know if it ever gets approved. Good Luck and keep us all posted.
Phylly
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Cervical fusion C4-C6 2002
Fall on ice on tailbone April 2005
Sciatica and back pain ever since
Diagnosed DDD L4-S1
Discogram positive at L4-S1
Prodisc ADR surgery L4-L5-S1 November 2007 Dr. Delamarter
Decompression Foraminotomy L4-S1 July 08 Dr. D. for Sciatica
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  #5  
Old 06-05-2008, 05:02 PM
Cali310 Cali310 is offline
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Hi Phylly,

Thank you for the support. I was denied a second time by CalPERS Blue Cross and now have to file for an Administrative Hearing. They told me it will take several weeks to get my hearing date so I'll be going into credit card debt while I wait. I already had my surgery on May 13, 2008 and definitely feel that it was worth the money!

Anyone with advice on a hearing? I read Laurie Todd's book which offers some advice, but I will take more if available.

Thank you!
Cali310
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