pamla68

Congratulations!

Hey Tracy! Have you returned to work? Pamla :straight

What's going on Rosanna? Did you appeal?

It has been a very long journey to me with misunderstandings @UHC. Not all plans are alike and varies through your employer. I would like to provide some numbers and slight information that has helped me these last eight weeks of waiting. 1. If your doctors office sends your clinicals throught the USPS this can delay your approval or denial. They have yet to get the original clinicals to care coordination for approval and customer service acknowledge receiving them on March 3, 2007. 2. Have the doctors office to fax them to Care Coordination. There phone number is 800-842-3920. My approval took less than 24 hours. 3. Be persistant! If you are frustrated let them know! I was transfered to Rapid Resolution department on April 11. 4. Check and make sure the Data Team department has recieved your clinicals to place the data in the system to have it reviewed by the CCs.There number is 866-297-9393 prompt #2, then prompt#3. 5. Don't give up! I also learned there is a difference between pre-determination and notification. Provider services is who mails out the letters to you and your doctor. The number to give your doctor to check the whereabouts of your approval letter is 877-842-3210. CPT code is 43770 ICD9 is 278.01 Hope this is helpful to someone.

It's been along time, I should've let you without a dope beat to step to. Step to, step to, step to, step to, step to. Cause if at first you don't succeed, dust yourself off and try again, Knock the dust off and try again, try again! My tribute to Aaliyah, and chat of approval!

Unfortunately,my doctors office is moving to a new location this week so I won't be able to schedule my GI and nutritional class (which are both their pre-requisites) until Monday.

Also there is very good information for you on bandstersinsurance which is a yahoo group. Join and there are several sample appeal letters to assist you.

It's been along time, I should've let you without a dope beat to step to. Step to, step to, step to, step to, step to. Cause if at first you don't succeed, dust yourself off and try again, Knock the dust off and try again, try again! My tribute to Aaliyah, and chat of approval!

Congratulations Sheila!

I'm approved!!!!!!!!!!!!

Visit this website and you should get a good start to your appeal. http://www.obesitylaw.com/faq.php

I have some notes that I can send you, what was the reason for they gave for the denial?

Wow! I didn't know they would call. I hope they have my number....

Now you know you have started something right? How long did it take you to get "the letter".:paranoid

Congratulations! I hope to join you soon!

Care coordination called me this morning. They contacted my doctor's office and have now received the paperwork. The waiting begins.....again....

Perhaps that is the local and toll free?:cry

801-567-5499 Predetermination fax. UHC received my paperwork on the March 3. I just feel that since they used to recieve them via mail, they should have contacted Care Coordination, given the information and had care coordination to contact my doctor to tell them to fax it instead. I have just wasted 6 weeks.

:clap2: I just found out through care coordination they no longer accept clinical paperwork in the mail. It should be faxed directly from your doctors office to them! Have your Doctors office call care coordination at 877-842-3210 M-F 6a-6p to get your approval or denial. Same day in most cases. Care coordination stated it was too much of a "paper trail" with the mail ins. I should here something in 24 hours. I hope this helps someone else as well.

I'm here. I contacted the care coordinating department which had no record of "reviewing my case". My doctors office mailed it certified. I had to go back to customer service, irrate, and my case is now at the rapid resolution department and I was told by Gerad to allow now 3-5 business days more. I'm tired ya'll.

May I have the phone number you called? Thanks!

Got you! Just seemed the drs. Would have had that 5 year info before time so that you wouldn't have to wait even more. You will be fine! Welcome to the waiting bench!

Who called, the Dr or UHC? How soon from the time the paperwork was resubmitted was it before you got the phone call this morning?

:clap2: I agree strongly!

I knew she wasn't going to say anything in that book! Sale gimmick!:cry