Leanne,
I believe I could benefit from your information.
I was denied L5-S1 ADR by bc/bs of western pa (highmark) for the exact same reason (investgative/experimental) I would be grateful for a copy of your final submission, sounds very similar to what I am up against. I am in Maryland but the insurer is in PA because I work for Erie insurance in Maryland but their home office is in PA and Bc/Bs administers their health coverage. I have also spoken with the Maryland Insurance commission and if I am denied my appeal they will then get involved and put it to their own review board. It is a very time consuming endevor and I can use all the help I can get. Thanks for whatever you can provide.
my email address:
Morehison1@adelphia.net