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Help! $40K of my $250K insurance claim was denied

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12/26/12 11:45 PM

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caseharts 325 The total sum of your votes up and votes down

Member Since: 7/18/11
Posts: 13526

UGCTT_Capnsavem -
Conor Heun - The surgeon looked at the two torn labrum and on one side he said that I had a mild case of congenital hip dysplasia.

He said that if he just repaired the labrum, that I would be at risk of re-tearing it so he performed a PAO or Periacetabular Osteotomy.

This was to prevent the injury from happening again.

The insurance denied that claim based on this being a pre-existing condition not related to the fight.

The reality is that the injury (torn labrum) was related to the fight and the doctor just wanted to make sure that once it was healed, that it didn't happen again.

However due to stipulations in the Zuffa Insurance they are denying the claim because the PAO wasn't to repair an injury, but was to prevent re-injury after the initial repair.
I fucking despise insurance companies. good luck Conor, I'll spread the word.

Can you please give us the companies info. We got some knee caps to claim. Phone Post

12/26/12 11:46 PM	Ignore \| Quote \| Edit \| Warn Admin \| Vote Down \| Vote Up \| Delete Post
Rear Naked Chode 174 Member Since: 11/20/12 Posts: 439	Rear Naked Chode - Rear Naked Chode - Rear Naked Chode - Mod should sticky this. . . . You have ignored this user.

12/26/12 11:59 PM	Ignore \| Quote \| Edit \| Warn Admin \| Vote Down \| Vote Up \| Delete Post
Brian J DSouza Edited: 12/26/12 11:59 PM Member Since: 1/3/12 Posts: 272	Conor Heun - I really have no idea. So far the bills I have received are for $2,648.00 for Physical therapy which I have discontinued, and one for $37,950.00 from the hosipital, anesthesia, arterial catheterization, spinal injection, and PRP. $40,000. Wow. God bless Mike Russell and the rest of the staff at fund-a-fighter. You have ignored this user.

12/27/12 12:00 AM	Ignore \| Quote \| Edit \| Warn Admin \| Vote Down \| Vote Up \| Delete Post
thedirtyburger Member Since: 8/22/12 Posts: 66	UG JUSTICE! You have ignored this user.

12/27/12 12:03 AM	Ignore \| Quote \| Edit \| Warn Admin \| Vote Down \| Vote Up \| Delete Post
abi 10 Member Since: 4/8/09 Posts: 1904	if dana can drop a G after every sub finish for j-lau against the tooth, Im sure he can help conor out..chump change.. You have ignored this user.

12/27/12 12:04 AM	Ignore \| Quote \| Edit \| Warn Admin \| Vote Down \| Vote Up \| Delete Post
caseharts 325 Member Since: 7/18/11 Posts: 13531	abi - if dana can drop a G after every sub finish for j-lau against the tooth, Im sure he can help conor out..chump change.. I'd hope he would. You have ignored this user.

12/27/12 12:15 AM	Ignore \| Quote \| Edit \| Warn Admin \| Vote Down \| Vote Up \| Delete Post
Diaz50-43Failure 973 Member Since: 10/13/08 Posts: 4476	ttt You have ignored this user.

12/27/12 12:35 AM	Ignore \| Quote \| Edit \| Warn Admin \| Vote Down \| Vote Up \| Delete Post
tatooedMillionaire Member Since: 3/19/11 Posts: 257	sounds like a pile of bullshit ttt for Conor Heun. Will never forget your fight with Magno Almeida You have ignored this user.

12/27/12 12:47 AM	Ignore \| Quote \| Edit \| Warn Admin \| Vote Down \| Vote Up \| Delete Post
CavRyda 4 Member Since: 7/23/09 Posts: 560	TTT You have ignored this user.

12/27/12 1:19 AM

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Conor Heun 18 The total sum of your votes up and votes down

Member Since: 2/27/06
Posts: 928

I have filed an appeal with the insurance company.

My surgeon had a peer to peer call with the doctor for the insurance company but apparently his ruling and opinion remained the same.

The insurance company's job is to deny claims.

Your doctor's job is to fight the insurance company on your behalf. My doctor has been fighting for me but so far to no avail.

Here is the link to my fund-a-fighter page again incase you guys missed it.

http://fundafighter.com/fighters/conor-heun/

12/27/12 1:44 AM	Ignore \| Quote \| Edit \| Warn Admin \| Vote Down \| Vote Up \| Delete Post
Sock of Slaw Member Since: 1/16/06 Posts: 480	ttt You have ignored this user.

12/27/12 1:44 AM	Ignore \| Quote \| Edit \| Warn Admin \| Vote Down \| Vote Up \| Delete Post
Drapht 6 Member Since: 7/15/12 Posts: 153	Time for Dana to hook a brother up?? You have ignored this user.

12/27/12 1:45 AM

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AussieMayhem 8 The total sum of your votes up and votes down

Member Since: 10/15/11
Posts: 1151

Brian J DSouza -
Conor Heun -
I really have no idea. So far the bills I have received are for $2,648.00 for Physical therapy which I have discontinued, and one for $37,950.00 from the hosipital, anesthesia, arterial catheterization, spinal injection, and PRP.

$40,000. Wow.

God bless Mike Russell and the rest of the staff at fund-a-fighter.

This. That's a lot more then I thought it would be. Phone Post

12/27/12 2:01 AM	Ignore \| Quote \| Edit \| Warn Admin \| Vote Down \| Vote Up \| Delete Post
nogi26 Edited: 12/27/12 2:02 AM Member Since: 9/20/06 Posts: 154	Hopefully Uncle Dana steps up and helps him out. Its stories like this that make me thankful I live in Canada You have ignored this user.

12/27/12 2:10 AM

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caseharts 325 The total sum of your votes up and votes down

Member Since: 7/18/11
Posts: 13538

Conor Heun - I have filed an appeal with the insurance company.

My surgeon had a peer to peer call with the doctor for the insurance company but apparently his ruling and opinion remained the same.

The insurance company's job is to deny claims.

Your doctor's job is to fight the insurance company on your behalf. My doctor has been fighting for me but so far to no avail.

Here is the link to my fund-a-fighter page again incase you guys missed it.

http://fundafighter.com/fighters/conor-heun/

Hey
I'm doing a raffle off of my art to benefit krs10kos cancer group. Maybe we can set something up where people donate into a raffle or something for your fundafighter account. Phone Post

12/27/12 2:22 AM	Ignore \| Quote \| Edit \| Warn Admin \| Vote Down \| Vote Up \| Delete Post
itswhitty 61 Member Since: 12/13/10 Posts: 420	Still no sticky?! I'm surprised. I was all excited when I posted within the first 20 minutes, as I was sure it was going to be stickied within minutes... The fact that having functional legs is considered such a luxury that it is priced outside the grasp of a vast majority of people in this country is a national shame. Anyway, TTT. Wish I could do more to help... You have ignored this user.

12/27/12 2:32 AM	Ignore \| Quote \| Edit \| Warn Admin \| Vote Down \| Vote Up \| Delete Post
Rear Naked Chode 174 Member Since: 11/20/12 Posts: 441	Rear Naked Chode - Rear Naked Chode - Rear Naked Chode - Rear Naked Chode - Mod should sticky this. . . . . You have ignored this user.

12/27/12 2:41 AM	Ignore \| Quote \| Edit \| Warn Admin \| Vote Down \| Vote Up \| Delete Post
UGCTT_SidRival 152 Member Since: 10/21/10 Posts: 3574	That really sucks. Good luck CH! And come on mods. Sticky time already. You have ignored this user.

12/27/12 2:47 AM	Ignore \| Quote \| Edit \| Warn Admin \| Vote Down \| Vote Up \| Delete Post
MIKE CIESNOLEVICZ Member Since: 3/20/02 Posts: 7486	Conor, I am really sorry to read this. I wish you the best brother! You have ignored this user.

12/27/12 2:49 AM

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Mike Russell 90 The total sum of your votes up and votes down

Edited: 12/27/12 11:52 AM
Member Since: 3/24/07
Posts: 9453

Let it be known for the record that Conor holds no ill will towards Zuffa, Strikeforce, or the UFC. They have been nothing but great to him and he isn't trying to target or disparage any of them with his campaign.

It's unfortunate that their insurance carrier chose to reject his claim for injuries sustained during his fight with Ryan Couture, but it's not surprising. Insurance companies aren't always as level-headed as they should be.

The point of this campaign isn't to make Strikeforce, the UFC, or Zuffa look bad. It's to help Conor.

12/27/12 2:49 AM	Ignore \| Quote \| Edit \| Warn Admin \| Vote Down \| Vote Up \| Delete Post
Pilot201 385 Edited: 12/27/12 2:50 AM Member Since: 1/1/01 Posts: 44495	insurance companies are scum. You have ignored this user.

12/27/12 3:18 AM	Ignore \| Quote \| Edit \| Warn Admin \| Vote Down \| Vote Up \| Delete Post
California Member Since: 11/28/11 Posts: 543	^ absolutely correct. insurance company commercials make me ill. they are the height of hypocrisy. all those companies care about is maximizing $$$profits$$$. they will deny any claims possible. they don't give a shit about people. good luck Conor. You have ignored this user.

12/27/12 3:23 AM	Ignore \| Quote \| Edit \| Warn Admin \| Vote Down \| Vote Up \| Delete Post
Rear Naked Chode 174 Member Since: 11/20/12 Posts: 446	Ttt You have ignored this user.

12/27/12 3:24 AM	Ignore \| Quote \| Edit \| Warn Admin \| Vote Down \| Vote Up \| Delete Post
Team GDP 169 Member Since: 12/1/10 Posts: 4342	ottavia bourdain is the top donor right now. she is awesome! You have ignored this user.

12/27/12 3:27 AM	Ignore \| Quote \| Edit \| Warn Admin \| Vote Down \| Vote Up \| Delete Post
Conor Heun 18 Member Since: 2/27/06 Posts: 929	Thanks to everyone for the well wishes and concern. I will get back up. You have ignored this user.

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