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?