I'm sorry to have to start a new thead on this, but I saw where you responded to mine and I didin't wan't you to miss the information.
Be vary careful with the insurance on the RFA. Apparently the insurance company denied because they said it was not an approved practice. The other injections were approved. I DID get stuck with the bills....so be wary of the sign here clause they are handing you. So far, it's about $5000.00 out of pocket. I simply do not have it. Also, this doctor is a participating physician and on the "good" list for the insurance company.
When I was talking the the PM yesterday, he commented that there would be a lot more denials like this now but didn't elaborate. Please, please, please make sure everything is done. They (the dr's office) assurred me BEFORE the procedure that the precert had been done and approved. After I received my response from insurance (about 2-3 months later), they still assurred me that I had been pre-approved and would have no problem. As of yesterday, the other denial came in and I am still responsible. I'll be filing an appeal today, but who knows what that will do....
All the best!
DDD, CHRONIC PAIN SYNDROME, TLIF L5-S1 2009 (failed), FIBRO, MINEYER'S (SP?), VERTIGO, MIGRAINES, GERD, SLEEP DISORDER, NISSEN FUNDOPLICATION (failed), DEPRESSION, EXTREME ANXIETY DISORDER, OCPD, PTSD, CHRONIC MUSCLE SPASMS, HUMAN GROWTH HORMONE DEFICIENCY, VITAMIN D DEFICIENCY, CARPLE TUNNEL SYNDROME, EXTREME IDIOPATHIC HYPOGLYCEMIA FROM AGE 12
Post Edited (retiredmom) : 3/30/2010 1:27:31 PM (GMT-6)