Early on March 15, Stacey, driving on a highway in Kern County, made a left turn when she was T-Boned by defendant. Stacey lost consciousness for 15 minutes. Left turn cases are usually bad liability. But the defendant was driving to the right of the double parallel solid yellow lines.

Initially no one anticipated the extend of Stacey’s injuries.

Stacey saw her chiropractor. She initially complained of pain to her head, neck, shoulders, back , arms and legs. Her doctor immediately recognized she was also suffering a serious Traumatic Brain Injury [TBI].

After careful chiropractic care, Stacey was referred to specialists and a year later received C4/C5 epidurals. She continued with chiropractic care and some acupuncture. Surgery was recommended. After long term suffering, she had a anterior cervical spine discectomy which resolved 80% of her symptoms. She returned to chiropractic therapy post-surgery.

Her TBI was treated with new protocols for restoring speech and memory.

Stacey vs. Murillo was resolved for $2,993.931.

Kern County Superior Court. 

Adjusters look to see if how badly the claimant was hurt and if the care meets the reasonable threshold of “medical necessity” Too many adjusters do not know the law. If the adjuster doesn't appreciate the medical necessity of chiropractic care, they cannot ask themselves nor an MD. Only a chiropractor can determine if chiropractic are is reasonably necessary.

Obviously insurance carriers to minimize costs are not looking for dedicated honest DC’s .

So, how does an honest hardworking chiropractor fight back against DC reviewers who deny medical necessity? The Levkovich approach is proving up patient improvement. Without proof it can be hard to show and get paid for ongoing care.

Get your Notice to Reviewer Regarding Medical Necessity. This 6-point response is dynamite against the Insurance Doc.

To get your free copy email  John Tawlian.