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Old 12-23-2013, 01:30 PM
Andi Lea Andi Lea is offline
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Join Date: Aug 2013
Posts: 11
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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 prove that two-level ADR is an experimental procedure from the Plan's Coverage" and thus, Dubaich was entitled to coverage from CIGNA for multi-level ADR. That event not only dubunked the "experimental/investigational" reason many insurance companies use, but also set a new standard: one can now have two levels of DDD and still be entitled to ADR as dictated in the court of law. It doesn't mean insurance companies will change their denial policies, but it has set a new precedent that people in need of ADR can utilize.
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years of bending from pottery profession
lumbar pain since Aug. 2012
MRI findings: DDD at L2 & L3 w/mild retrolisthesis;
DDD at L5 & S1 w/loss of disk height & w/desiccation
surgeon recommends ADR at L5 & S1
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