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Paperwork Journey

Still waiting - packet has not been submitted to CIGNA yet. Final items needed for the packet are coming up in the next 2 weeks.   8/9 PCP Begins Referral Process to Lap Band Surgeon   8/10 Sign PCP Medical Record Release   8/11 PCP advises referral to surgeon ready and provides me with the telephone number to call for appointment.   8/14 Darla takes intake form at Surgeon's office, someone else will call me back.   8/15 PCP Medical Records Released   9/1 Psych _Eval   9/5 Med History Review (find out I need a consultation with a nutritionist (MD) and need a stress test and heart sonogram, and blood work drawn and results).   9/5 Called to schedule the stress test and heart sonogram. Scheduled for 9/8.   9/5 Request for nutritionist referral from PCP (could take 1-5 days)   9/5 PCP calls with name of nutritionist. I call to make an appt, but can't until CIGNA approves, may take 5 days.   9/11 Nutritionist calls to advise that CIGNA approved the request. Can't be seen until 9/26.   9/5 PFT at PCP Office, and request for x-ray results   9/6 PFT Results and CXray results pick-up   9/8 Stress Test and Echo sonogram done at Cardiologist office.   9/11 Stress Test and Echo sonogram results rec'd by Surgeon.   9/113 & 9/14 check with Nutritionist for cancellations in order to get seen sooner than 9/26. No openings.   9/24 Get blood work drawn at PCP office.   9/26 Nutritional Consultation appointment scheduled. 9/26 Nutritionist consultation report   9/28 Bloodwork results 10/6 Entire packet complete, medical testing and results complete. Medical Director at AIGB reviewed/approved. Submitted to Insurance for letter of determination sent to CIGNA. 10/10 Predetermination Letter sent to CIGNA, HMO, TX. Allow 72 hours for CIGNA to scan the file into their review system. 10/16 Check in with CIGNA to see if file received. Case Manager assigned?

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