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Blsmbry

LAP-BAND Patients
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Everything posted by Blsmbry

  1. Hi hope all is well with you and your family! I really appreciate the info you shared with me but, unfornately I don't have bariatric resources as a benefit on my plan. I just received a letter from my ins. company saying that if I wanted to send in any information that will assist my appeal I could do so. I'm thinking about writing a letter and sending in some pictures of me over the years.

  2. Blsmbry

    United Healthcare????

    I need to be on the pay roll lol! I actually found out that my appeal papers wasn't sent in, when they clamied they did. My paper did not have all of my clinicals and that's why I was denied intialy. On top of that I found out through my ins that the appeal papers was sent in on 12/7. I called back to Dr. Jawad office as calmy as possible and confirmed with them tthat they did fax the appeal to the ins. I have been so furious so upon finding out this info. My first try ever I get denied because the Dr ofc dropped the ball isn't that something? Sorry I'm so long!!!!!!!!!! Im waiting. Blsmbry
  3. Congratulations!

  4. Hi Val I have done everything that is required of me to do 5 yrs history, physc eval, and I still wasa denied!!! I have UHC EPO to and I don't understand who dropped the ball and I'm confused is where and what to do now. I was confident that I was going to get approved on my 1st attempt but it didn't happend for me. I'm still going back and foward with my doctor's office and ins. company no answer

  5. Hi Mrspalmours I want to know what are my options on how to get an expedited appeal with a successful approval. I have UHC EPO and I live in Fl this is my story I have UHC EPO and I live in Fla. I was denied last week for wls. The reason was because they didn't have my BMI nor my 5 year history. I notified Dr. Jawad's office about this and they assured me that they sent everything over....

  6. Blsmbry

    United Healthcare????

    I have UHC EPO and I live in Fla. I was denied last week for wls. The reason was because they didn't have my BMI nor my 5 year history. I notified Dr. Jawad's office about this and they assured me that they sent everything over. For the last week I have been going back and forth. I spoke with the Dr. office and they again assured me that they have faxed over the appeals paper work, but when I called the ins. company top verify they said they haven't received anything. I don't know what to do. I have no co-morbidites, other than sleep apena, infertility, gerd, I have my 5 year history showing my BMI have been over 40 for the last 5+ years. In my plan I dont have to have the 6 mos supervision which is great but, I don't know where to turn. I need your help? Should I seek out another Doctor and If so will I have to have them to submit an appeal since I've already been denied? Any help is welcom and appreciated. Thanx!!

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