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Battle with the health insurance company
06-21-2012, 09:20 AM
Post: #1
Battle with the health insurance company
The settlement was last year with work comp.

I received a rating on the left knee only with a cash settlement on that knee and very small MSA fund set up.

THe right knee and lumbar spine were also a part of the claim but according to the work comp doctor the muscle strain was resolved with no rating given.

Recently I have received treatment for the lumbar spine, ESI injections.
MRI, primary visit, and visit with the neurosurgeon, diagnosis of the spine is DDD.

Received the summary of bills from the health insurance company and they are denying paying for any treatment related to the back due to being work comp related.

I called other party libality with the insurance company about this and complained. Seems they have decided to do an investigation on the lumbar spine and if it is work comp related.

A year ago when I settled I sent the settlement papers to the health insurance company. Their words then, if you did not receive a cash settlement for the knee and back you will be covered by health insurance.

So now I wait with a bunch of unpaid bills.
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Battle with the health insurance company - Bummer Knees - 06-21-2012 09:20 AM

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