3 insurers disputing patients in alleged wrongful denials for spine surgery claims
By Admin | August 16, 2021
From an artificial disc replacement lawsuit revived against a commercial payer to a spine device that was allegedly wrongfully denied coverage, here are three insurers involved in spine-related court cases:
1. A Florida woman is suing Anthem, alleging that the insurer didn't cover a spine device that should have been covered under the Employee Retirement Income Security Act. The woman had a spinal decompression procedure with the Coflex interlaminar stabilization device to treat spondylolisthesis and was later notified by Anthem that her claim for surgery with the device had been denied.
2. A lawsuit over Aetna Life Insurance's spine surgery coverage that was originally dismissed in 2019 will now go forward. The case relates to two patients covered by Aetna who were recommended lumbar artificial disc replacement surgery — Aetna allegedly denied both requests, saying...(More)
For more info please read, 3 insurers disputing patients in alleged wrongful denials for spine surgery claims, by Becker's SpineReview
