I HAD AN INJURY OCCUR ON 12/17/06 WHERE AS I INJURED MY LOWER BACK. I HAVE TWO BULGING DISCS, ONE IS CRACKED AS WELL. I WAS ORDERED FOR SURGERY, AS I AM COVERED BY ANTHEM BC/BS. LESS THAN 48 HOURS BEFORE SCHEDULED SURGERY ANTHEM HAS PUT MY CLAIM ON HOLD. I NEED A LAWYER WHO HANDLES THESE TYPES OF CASES WHOM I CAN CONTACT. IT HAS BEEN 7 MONTHS SINCE MY INJURY HAPPENED AND STILL I HAVE YET TO BE TAKEN CARE OF.
2007-08-06 12:14:49 · 2 answers · asked by bajamoons4me 1 in Business & Finance ➔ Insurance
Go to your yellow pages. ANY lawyer should be able to help you . . . for a fee. They ARE going to want you to put down a hefty retainer up front.
You're not saying why the claim is on hold, so I'm guessing they think it's work related or a pre-existing condition that you didn't disclose. Those would be two valid reasons for the health insurer to not pay. And a lawyer isn't going to help you "override" the reasons.
Having an injury that needed surgery 7 months ago, that you haven't taken care of yet, ALSO indicates that maybe the need isn't as great as you think it is (or else you would have the surgery, and worry about the payment later).
2007-08-06 13:10:52 · answer #1 · answered by Anonymous 7 · 0⤊ 0⤋
You do not indicate why Anthem put your scheduled surgery payment on hold. My guess is that it's not covered, for one reason or another.
It's entirely possible that a medical opinion from Anthem caused them to withhold. There are tons of scalpel happy surgeons out there who will cut into anything to make a few thousand quick bucks.
Give us more information so that we can guide you accordingly.
2007-08-06 13:15:39 · answer #2 · answered by acermill 7 · 0⤊ 0⤋