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There was a mole that was approximately right there, said Magnuson as he showed the scar from surgery on his calf.A scar that's now a reminder of the ,337.60 bill his medical provider, Aurora Health Care, charged and his insurance, Anthem, didn't want to cover."The surgery to identify the lymph node, the sentinel node, which ultimately had the cancer cells, which raised it from a Stage 2 cancer to a Stage 3 cancer, was not medically necessary," Magnuson explained.Magnuson said it was "extremely shocking."He explained he has been receiving immunotherapy to treat cancer. But at the same time, Magnuson has been trying to get the procedure that identified his Stage 3 cancer covered by his insurance.Magnuson appealed Anthem's decision twice and each time, he said he received a little more of an explanation as to why it wasn't being covered."The closure of the wound was listed as a complex closure, but based on what the insurance company could see, it was a simple closure," Magnuson said."That means nothing to me before and it means nothing to me now," he continued."I had a wound on my leg and they needed to close it," he said.WTMJ reached out to medical billing expert Pat Willis, asking her how common it was for an insurance company and medical provider to disagree on whether a surgery is complex or simple."No. It's not common," Willis said.When Willis reviewed the medical coding used in Magnuson's case, she discovered something."There's no such thing as an 'intermediate complex' code. There is no such thing. Whoever wrote 'intermediate complex,' that does not exist. It's either 'intermediate' or it's 'complex.' It's not both,” Willis continued.The wording of the coding, according to Willis, was incorrect.WTMJ asked Aurora and Anthem in late August to answer our questions about this case. On September 28, an Aurora spokesperson said:"Our top priority is to provide the highest quality care for those we serve. That includes helping our patients navigate issues related to billing and insurance, which we know can be complex. Federal and state laws prohibit us from commenting further on specific cases." Anthem's spokesperson provided the following statement: 2189
Traffic flow on the base will also be subject to checkpoints during the drill, according to Miramar officials. Residents may also hear announcements from the base's public address system during the drill and are advised not to be alarmed.Residents can visit the MCAS Miramar Twitter account, @MCASMiramarCA, or call the base's office of communications at (858) 577-6000 for more information about the exercise. 410
Thousands of residents in the Florida Panhandle are slowly returning to their homes and discovering that everything or almost everything they owned has been reduced to rubble.Linda Clarke gasped repeatedly at the sight of her once new home in Shell Point Beach -- now severely damaged."But you know what ... it's just stuff, it's just stuff," she told her husband, Raoul, as they walked through the ruins. "It's just stuff we can replace."There is not much left of what used to be the parish hall of St. Dominic Catholic Church in Panama City. Despite the destruction, the Rev. Luke Farabaugh and his congregation celebrated Mass on Thursday."Things, we can replace," Farabaugh said on CNN's "Erin Burnett OutFront." "We've seen a lot of signs of hope. ... I've been telling people ... to have hope."Hope is that even if the storm does come, even if I lose my car, my house, my family, even if I lose my life, blessed be God," he said. "Our reward isn't just in this life but in the life to come. So we're just trying to give people hope at this point."In Mexico Beach,?Councilwoman Linda Albrecht learned through online news video that her home was gone."Everything in my house, it was almost like it was pushed back with a bulldozer," she said"Mexico Beach needs your prayers," Albrecht said of the town of about 1,200 people. "It's not the Mexico Beach we know."But there are signs of recovery.Delta Airlines said it resumed all operations at airports impacted by Hurricane Michael, including Panama City Airport.The City of Tallahassee reported that 90% of the traffic lights in the city were back online Friday and that power had been restored to 38,000 customers.Several businesses in the city have reopened, including Walmart, Target and various gas stations. 1776
Tianna Burtnett's father recently gifted her ,500 in cash to help buy her son Nicklaus some special needs toys for Christmas. Nicklaus was diagnosed with Angelman syndrome, a genetic disorder that affects the nervous system. 226
Those sad eighth-grade faces may have brightened a little Wednesday afternoon when the Cavaliers heard about their letdown and sent an invitation their way.The Cavs reached out to Mentor Public Schools to invite all eighth-grade students, including the ones who were not going on the trip, to attend Thursday night's watch party at The Q. The Cavs are providing transportation and food vouchers for all students and staff chaperones.The district said it is still working to arrange additional events that will be memorable for the students in lieu of no D.C. trip. 593