|
Insurance Hell All insurance-related matters are here: Medicare, worker's compensation, appeals, denials, insights, wins, losses. PRICING is here too. Note: This forum has posts from 2006 forward. Older ones are in the Big File. |
|
Thread Tools |
#1
|
|||
|
|||
Independent Medical Review?
Can anyone tell me what to expect? I have approval for one disc. Pushing for second. I don't want to come across as too agressive. Any tips on how to posture? I think the Dr.'s group has performed ADR.
Any tips would be greatly appreciated. |
#2
|
||||
|
||||
This is a tough one -- especially since you seem to be fighting workman's comp. Each state has a consumer protection department for medical appeals -- Conn. has a particularly strong one. Call them, get to the right person for advice. Also, you are able to receive copies of previous appeals that went through the independent appeals process (it may take some time).
Watch out for these snafus: - the examiner being a doctor in another medical field -- or country; - when writing your appeal, stick to the facts (see Laurie Todd's book -- search these forums for the "Insurance Warrior); - not distributing to ALL the right people in the insurance company(s) and appeal organization. There's more, but you get my drift. BTW: Are you already in contact with Synthes? They have a strong appeals support partner to help patients with this stuff. Hope this helps.
__________________
"Harrison" - info (at) adrsupport.org Fell on my ***winter 2003, Canceled fusion April 6 2004 Reborn June 25th, 2004, L5-S1 ADR Charite in Boston Founder & moderator of ADRSupport - 2004 Founder Arthroplasty Patient Foundation a 501(c)(3) - 2006 Creator & producer, Why Am I Still Sick? - 2012 Donate www.arthropatient.org/about/donate |
Bookmarks |
Tags |
insurance appeal, medical review |
|
|
Similar Threads | ||||
Thread | Thread Starter | Forum | Replies | Last Post |
Independent Medical Review California Department of Insurance | Abbe | Insurance Hell | 16 | 08-16-2007 02:57 PM |
Panel Review Today | go*big*red | The Big File | 4 | 06-09-2006 09:14 AM |
Independent Medical Review | go*big*red | The Big File | 34 | 05-26-2006 08:25 PM |
3rd appeal/independant review | bmills | The Big File | 3 | 05-01-2005 11:17 AM |