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?