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Insurance denies claim for anesthesia services. This is for a multi-level lumbar spinal fusion. L4 to S1. Instrumentation. Estimated surgical time: five to six hours. And I need you to explain this to me like I’m the one who’s confused. You approved the surgery. You approved the hardware. You approved the hospital stay. But you’re denying general anesthesia because—what was it? “General anesthesia exceeds medical necessity criteria under cost optimization.” Cost optimization… for a five to six-h
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