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BCBS Second Transplant denied

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  • BCBS Second Transplant denied

    Has anyone had this happen? They approved the first one but a week before we are to start the next one its denied. MDAnderson is working on the appeal through BCBS and I have to work on one through an IRO (independent review organization) but is this bizarre?
    Co-warrior
    Dx Left I/O 2/08 100% pure seminoma
    4-1-08 17fractions XRT 25.5 gy
    9-4- 09 RELAPSE 4XBEP
    12/09 01/10 3/10 All Clear, Fractured Pelvis
    4-29-10 RELAPSE
    5-11-10Partial Sacrectomy
    5-19-10 1X Carbo, Cytoxan
    5-23-10 15 fractions of XRT 25.5
    6-14-10 Fractured Sacrum
    8-10-10 1st Cycle HDC (clinical trial @ MDA)
    10/8/10 REMISSION
    11-30-10 2nd Cycle HDC
    12/10- 9/12 ALL CLEAR

    http://jasonejourney.blogspot.com

  • #2
    I think it's bizarre, but I'm a decent human being, not an insurance corporation. Patrick has BCBS--TX, and they never batted an eye at any of his treatments---however, he never did the transplant. Let me know if I can help, even if you just need a proofreader.
    Kat
    sigpic_______________________________________________
    Caregiver
    DX 5/15/09
    Left orchiectomy 5/22/09
    60% embryonal, 40% seminoma, w/ VI, LI, T2 (CS-IB)
    CTs clear, X-rays clear, blood markers normal
    L-RPLND 7/14/09, San Antonio
    3 nodes positive, 100% embryonal, N1 (PS-IIA)
    2 rounds BEP August 24, 2009, Austin
    Enlarged lymph nodes Oct 09, Dec 09, Jan 10, Apr 10
    All clear 10/01/10

    Comment


    • #3
      Oh Congrats on the all clear!!!!!!


      I will definately take you up on the proofing. We have a dr. appt on Thursday so hopefully we will know more. We are just in a time crunch since J was in the hospital so long after the first round that we really need to get going on this one...grrrr! Good news is I finally got everything off for disability for him. One thing off the list 10 more added.
      Co-warrior
      Dx Left I/O 2/08 100% pure seminoma
      4-1-08 17fractions XRT 25.5 gy
      9-4- 09 RELAPSE 4XBEP
      12/09 01/10 3/10 All Clear, Fractured Pelvis
      4-29-10 RELAPSE
      5-11-10Partial Sacrectomy
      5-19-10 1X Carbo, Cytoxan
      5-23-10 15 fractions of XRT 25.5
      6-14-10 Fractured Sacrum
      8-10-10 1st Cycle HDC (clinical trial @ MDA)
      10/8/10 REMISSION
      11-30-10 2nd Cycle HDC
      12/10- 9/12 ALL CLEAR

      http://jasonejourney.blogspot.com

      Comment

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