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Showing results 1 to 8 of 8 Search took 0.00 seconds. Search: Posts Made By: Andi Lea

Forum: Insurance Hell 02-17-2014, 04:37 PM

Replies: 11 I won my appeal with BCBS!!! Views: 10,284 Posted By Andi Lea 8 week update on lumbar ADR I went last week back to Dr. Guyer at TBI for my 8 week post op. He took X-rays and said everything looked good. I am still experiencing pain in my lumbar area as he said I would. He reiterated...

Forum: Insurance Hell 02-17-2014, 03:59 PM

Replies: 11 I won my appeal with BCBS!!! Views: 10,284 Posted By Andi Lea Please PM me and give me your email so I can send... Please PM me and give me your email so I can send my appeal/rebuttal as an attachment. I researched for about 4 weeks before I wrote my appeal. In my appeal, I took the angle of challenging...

Forum: Insurance Hell 01-06-2014, 11:19 AM

Replies: 11 I won my appeal with BCBS!!! Views: 10,284 Posted By Andi Lea recovering on track Thank you for your congrats and support. I am doing fine in my post-surgery. I was essentially bone-on-bone and the surgeon said he had to do quite a bit of maneuvering to make space to accommodate...

Forum: Insurance Hell 12-23-2013, 01:30 PM

Replies: 11 I won my appeal with BCBS!!! Views: 10,284 Posted By Andi Lea One of the latest events to use in appealing for... One of the latest events to use in appealing for ADR happened in July, 2013. That was the date CIGNA lost the case filed by Danica Dubaich for multilevel ADR. The judge ruled that "CIGNA failed to...

Forum: Insurance Hell 12-18-2013, 06:05 PM

Replies: 11 I won my appeal with BCBS!!! Views: 10,284 Posted By Andi Lea I won my appeal with BCBS!!! I needed artificial disc replacement at my L5-S1, but my BCBS insurance has a policy against it calling it “investigational”. I didn’t have the funds to pay for the surgery out-of-pocket and I was...

Forum: Insurance Hell 09-05-2013, 04:50 PM

Replies: 0 looking for Lumbar ADR precedent in Louisiana Views: 2,462 Posted By Andi Lea looking for Lumbar ADR precedent in Louisiana Hello. I am collecting data for my appeal to BCBS of Louisiana. I really, REALLY need a precedent as they have a policy against Artificial Disk Replacement. In January of 2013 State Employees...

Forum: New Member Introductions 09-04-2013, 02:04 PM

Replies: 2 has anyone won an appeal for lumbar ADR when considered "investigational"? Views: 5,025 Posted By Andi Lea Thank you. I have been reading on this forum and... Thank you. I have been reading on this forum and find it very informational and helpful. I will keep reading. What I need is to find a BCBS president for them paying lumbar ADR in Louisiana. ...

Forum: New Member Introductions 09-03-2013, 04:31 PM

Replies: 2 has anyone won an appeal for lumbar ADR when considered "investigational"? Views: 5,025 Posted By Andi Lea has anyone won an appeal for lumbar ADR when considered "investigational"? Hello. I'm a newbie in this support group. I have been denied a level 1 ADR on my L5 - S1 by my insurance co. I have BCBS of Louisiana and they have a policy against ADR calling it...

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