Recently, one of our followers indicated that Blue Cross/Blue Shield has been denying coverage for spine procedures in the New England Area. Has anyone including surgeons, patients, or industry professionals experienced any denials? If you know, please let us know.
TSB
Yes, I was just told by one of my surgeons in Boston 2 days ago that they are denying DLIF & XLIF procedures.
ReplyDeleteI have had two different surgeons cancel three cases in the past week in Boston due to insurance denials. These were not DLIF or XLIF cases but standard lumbar fusions. One was BC/BS - not sure about the other two.
ReplyDeleteI have distributors in the New England area and have heard a lot of the same. Standard fusion procedures getting denied. Business in NE is down and this seems to be one of the reasons.
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