Guest guest Posted July 7, 2004 Report Share Posted July 7, 2004 Geez... Medical hasn't even got approval of the C+ ...and you're already working on a C-4. You go (boom) guy! Alan > > I'm sorry you are having such a hard time with the insurance > companies. My > > surgeon simply called and got pre-approval for a THR and coded it as > such. > > Orthopaedic Hospital will not allow JRI to do this. They tried it > earlier this year, and the hospital made them resubmit those cases > with the annotation that the surgeon would use an investigational > device if he thought it appropriate. That's what turned my case (which > had already been approved as a THR) into exactly the sort of nightmare > struggle with CIGNA bureaucracy that Alan's dealing with right now. > > 11 weeks post-op, there's been another development in my case: CIGNA > decided to disallow $929.20 of the $1000.00 I paid out of pocket for > my pre-op autologous blood donation and reimbursed me a whopping > $70.80. I don't know whether to call my lawyer or try to buy C4 on the > black market. I *really* hate those guys. > > Steve (bilat C+ 4/20/04, Amstutz) Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 7, 2004 Report Share Posted July 7, 2004 > > > I'm sorry you are having such a hard time with the insurance > > companies. My > > > surgeon simply called and got pre-approval for a THR and coded it > as > > such. > > > > Orthopaedic Hospital will not allow JRI to do this. They tried it > > earlier this year, and the hospital made them resubmit those cases > > with the annotation that the surgeon would use an investigational > > device if he thought it appropriate. That's what turned my case > (which > > had already been approved as a THR) into exactly the sort of > nightmare > > struggle with CIGNA bureaucracy that Alan's dealing with right now. > > > > 11 weeks post-op, there's been another development in my case: CIGNA > > decided to disallow $929.20 of the $1000.00 I paid out of pocket for > > my pre-op autologous blood donation and reimbursed me a whopping > > $70.80. I don't know whether to call my lawyer or try to buy C4 on > the > > black market. I *really* hate those guys. > > > > Steve (bilat C+ 4/20/04, Amstutz) Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 7, 2004 Report Share Posted July 7, 2004 Nice thought, but you know, the rats and the roaches somehow always survive. > > Geez... > > > > Medical hasn't even got approval of the C+ ...and you're > > already working on a C-4. You go (boom) guy! > > C4 *and* a flamethrower (so I can scour the wreckage for survivors) ;-) > > Steve > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 7, 2004 Report Share Posted July 7, 2004 hey man, easy on the Roches... - In surfacehippy , " Alan Ray " wrote: > Nice thought, but you know, the rats and the roaches somehow always > survive. > > > > > Geez... > > > > > > Medical hasn't even got approval of the C+ ...and you're > > > already working on a C-4. You go (boom) guy! > > > > C4 *and* a flamethrower (so I can scour the wreckage for > survivors) ;-) > > > > Steve > > > > Quote Link to comment Share on other sites More sharing options...
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