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Insurance Deinal for Neurostimulator

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Rob731
Rob731

Does anyone have a Neurostimulator implanted for TN. IF so, did your insurance company approve it, if so, which Company. We have been Fighting with denial after denial and a denial of an independent outside appeal with HUMANA (drop the name HUMAN tho) because her trial stimulator, the surgeon used the code 64575 and in the OR did the code 64555, Same wording on the code, but 64574 is done with a needle and 64555 is done with a scalpel. The claim the first surgery was Voided and they are under no obligation to approve the permanent stimulator even though we supplied data that showed her pain level was reduced to about a 1 from a 10.

Bruce D. Broussard is Humana's CEO .... he just gave himself a 94% raise, and sold over 8 million dollars in Humana Stock.

Please let us know which insurance company approved your stimulator and was it approved the first time.

thank you

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