Prudential disability insurance denial #2

Discuss here about Medical Disability claims and Insurance possibilities for PN treatment options
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blightcp
Posts: 215
Joined: Wed Sep 05, 2012 6:23 pm

Prudential disability insurance denial #2

Post by blightcp »

Arrgh.... Prudential denied my disability claim, again. Completely ridiculous stuff too, somehow driving 5 miles to a doctors appointment means I can drive 54 miles each way to work. I could go on but I sure some of you have been through this.

Private insurance will do anything to deny the claim including fabricating thing and taking you information out of context.

I am waiting for the records from prudential before either:

1. appealing again myself.
2. I now have the option to take them to court.

But I need to see the information from prudential.

BTW if you are denied, you are entitled to ALL of the records that the insurance company acquired. For us with PN this can be a mountain of documents.

Take the time to read through them because I have found that the insurance company does not do more than skim over them until they find a reason to say no.
PN by sedentary job and commute
Treated for IlioInguinal pain 2008-10
PT by Dr. Conway's team | 3 PN blocks @ Elliott in Manchester USA
TIR 2010 and TG by Dr. Conway in May of 2012 uncovered nerve damage, declared surgical failure in May of 2014
PT and bed rest continues
Employer refused accommodations in 8/13, now in the disability war.
Sacrial Stimulator 9/14 by Dr. Ross Boston MA
Anesthetic pain pump trial 3/16/15 by Dr. Ross
nyt
Posts: 1165
Joined: Sun Oct 31, 2010 3:24 am

Re: Prudential disability insurance denial #2

Post by nyt »

You need a disability attorney. If you have been trying to do this yourself don't try it again without an attorney or you will loose. It is even difficult to win with an attorney but at least have someone who knows how to handle these guys.
2/07 LAVH and TOT 7/07 TOT right side removed 9/07 IL, IH and GN neuropathy 11/07 PN - Dr. Howard
6/08 Obturator neuralgia - Dr. Conway 11/08 Disability, piriformis syndrome - Dr. Howard
4/09 Bilateral obturator decompression surgery, BLL RSD - Dr. Howard
9/10 Removed left side TOT, botox, re-evaluate obturator nerve - Dr. Hibner
2/11 LFCN and saphenous neuralgia - Dr. Dellon 2/11 MRI with Dr. Potter - confirmed entrapment
5/11 Right side TG - Dr. Hibner 2012 Left side TG - Dr. Hibner
blightcp
Posts: 215
Joined: Wed Sep 05, 2012 6:23 pm

Re: Prudential disability insurance denial #2

Post by blightcp »

I agree, now is the time for legal representation.

I have asked for all documentation and I am waiting for that before trying to get someone to take on the case, that way I have all of the documentation. I enen scanned and organized all of the information.

The first appeal, nobody would take the case. I tried at least 6 firms and a referral agency with nothing solid. However, a friend of mine with PN is a paralegal in MN. She helped me with the appeal to help with the finer points.

Now, I need to find someone who knows what PN even is.
PN by sedentary job and commute
Treated for IlioInguinal pain 2008-10
PT by Dr. Conway's team | 3 PN blocks @ Elliott in Manchester USA
TIR 2010 and TG by Dr. Conway in May of 2012 uncovered nerve damage, declared surgical failure in May of 2014
PT and bed rest continues
Employer refused accommodations in 8/13, now in the disability war.
Sacrial Stimulator 9/14 by Dr. Ross Boston MA
Anesthetic pain pump trial 3/16/15 by Dr. Ross
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