Spine Care Alliance Assists Patients in Appealing Insurance Denials
Spine Care Alliance (SCA) is an independent organization created to advocate for patients whose health insurance companies have denied payment for their medically indicated spine surgery. SCA provides guidance and assistance to those wishing to appeal their denials and pursue every legal means possible to obtain health insurance coverage. The services SCA provides to patients are free of charge and include:
- Educating patients on their rights
- Working with their doctor's office to build their case file and manage the denial appeal from start to finish through the insurance company, external review, and if necessary, the state insurance commissioner's office.
- Communicating with the patient throughout the process.
The Spine Care Alliance was launched earlier this year - www.spinecarealliance.org - with a grant from NuVasive to support patients who were experiencing an increasing number of insurance company denials for their medically indicated spine surgeries. The goal was to support these patients who are hurting, scared and confused and to give them hope and a resource to help them get the medically indicated surgical intervention they need.
- SCA provides services for ALL patients, regardless of device or surgical spine procedure.
- The Spine Care Alliance website (where most patients get started) encourages patients to call a representative who understands and specializes in coding, how to build a case, and how to navigate the difficult challenges associated with working with insurance companies and the different state regulations. The site is agnostic and does not contain advertising, product references, or promote any specific manufacturer.
- SCA desires to bring in other industry support and medical device companies who share this concern and have a heart for the patients they serve. SCA is currently in discussion with other spine technology companies to that end.
Spine Care Alliance has successfully overturned six insurance denials to date and has more than 20 other cases in process. In order to ensure continued patient access to needed spine surgeries, and to respond to the increasingly downward pressure on innovation, ISASS and SCA believe that it is imperative for the spine industry as a whole to get behind efforts such as Spine Care Alliance to combat these trends.