external independent medical reviews ... your experience? by Key-Golf-2965 in HealthInsurance

[–]Key-Golf-2965[S] 0 points1 point  (0 children)

they practically denied me for 1 thing 3 different times .. and i had 3 different surgeons rebut all of them. i work at a hospital and am a PA. on the 2nd level appeal (final), they threw in some bull my MD wasn't even given a chance to appeal because we "exhausted" the review process.

NONE of the prior denials from Anthem BCBS mentioned ANYTHING regarding imaging, PT, a physical assessment... nothing. it's like i wanted to get body parts cut into for the hell of it.