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pre cert now being denied payment

Hi! So I have new ins this yr and a new pm whose office jumped thru hoops to get the precerts done for my latest procedures. I had the procedures done and now the bill is close to $8000.00 because the ins company now says they arent covered and i can appeal if i want to. Well rt now the pm practice is appealing and in the meantime ally other procedures are on hold because i cant afford them and the says they are not covered procedures. Sorry just had to vent!
Erin Roche
L5/S1 Hemilaminectomy
SCS implant in 2012
plus much much more...


  • SavageSavage United StatesPosts: 5,476
    Not sure where you are.
    I'm in the states and this year has changed..my experience..with treatments allowed and even meds that were ok in past need recertification....with insurance companies.

    It very good as seems your PM office going to bat for you.

    Is there anyone you can discuss your insurance issues with?....to help you navigate to get the proper care you need?

    It is not easy to have these issues to deal with on top of the daily pain and its limitations.
    Hang in there.
    Spine-Health Moderator
    Please read my medical history at: Medical History

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