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insurance denying surgery
#1
WC in Texas since 08/17/2016.
Had 2 ESI, 1 RFA ablation several session of PT , 2MRI, 2 XRays, EKGM nerve test.

All 3 Dr's ( Treating Dr, Spine Surgeon, Orthopedic Surgeon ) agree of a spinal fusion at L5S1 and laminectomy at L4 .
Insurance denies surgery, reason Surgeon documented symptoms don't match with the digital image of the damaged injury.
The spine surgeon will appeal with new better-documented report?
Why is the insurance denying if they can see the damaged disc on the MRI?

Also, today I received a call from the TDI-WC saying that I have a DDE appointment for March 20th ( 2nd already ) requested by the Insurance carrier.
Is the Insurance forcing me to a MMI ?

Thank you so much , this has been a roller coaster
 
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Messages In This Thread
insurance denying surgery - anthony - 02-08-2018, 08:07 PM
RE: insurance denying surgery - 1171 - 02-08-2018, 08:16 PM
RE: insurance denying surgery - anthony - 02-08-2018, 08:21 PM

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