Blue Cross Denied Fusion - Help Needed

[gwin]

One suggestion, and that is to find out EXACTLY what procedures and billing codes were submitted to Blue Cross by your doctor. In my case, after losing my appeal, I found out that the doctor's report had the level to be fused as L3 and L4, rather than L1 an L2. None of this will be found in your denial from Blue Cross, because they don't want to you know. Check everything submitted for errors.
I am going to have my doctor re-submit the fusion request based on incorrect information submitted the first time, but have been warned I will still most likely be denied, even though I like you fit the perfect profile for fusion. I would also suggest getting Laurie Todd's book "the Insurance Warier" and start preparing on appeal. Best of luck, and please let us know the outcome.