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Everything posted by Monica_Lynn
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The person I was talking to didn't really know what was needed. I found out last week what was needed and they actually had the paperwork but I re-faxed them the information too. The following day the patient coordinator at the surgeon's office also faxed that information then followed up with a call pointing out where the information is they were asking for. I called yesterday and there was no update so I am going to call again today. The surgeon's office is due to call tomorrow so I am optimistic I will have my approval this week!
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So I have been waiting all week (impatiently) for my approval. When I called this afternoon to check on the status, it wasn't the news I wanted. All of the information is in my file with the exception of my co-morbidity failures. What exactly does that mean because my PCP hasn't even been presented this before. Needless to say, before I get this initial denial letter I am being proactive and went to my PCP today (within 2 hrs of getting this info) and he took down all of the information and writing me another letter. I am hoping this will be enough to suffice the medical review team and they will approve this. I was hoping to have my surgery date in September because I have been on this journey since January and went thru a policy change right in the middle (from 3 months to 6 months medically supervised weight loss). I am so NOT giving up, especially since I have read many postings that after one appeal there was an approval!
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Finally sent everything for insurance approval!!!!
Monica_Lynn replied to beachlover09's topic in PRE-Operation Weight Loss Surgery Q&A
I too have BCBS and my file was submitted on 8/5/11 and I called on 8/10 no update, called again on 8/11 no update but then on 8/12/11 there was an update--more information needed (which actually was in the file). I faxed the additional info and my surgeon's office also faxed the additional info so now I am in the waiting game again. I called today for an update nothing, but I will be calling again tomorrow. Good luck for a speedy approval! -
My file was submitted to the insurance company 8/5/11 but they couldn't find some items so I re-faxed what they needed and now I have to wait again. Although they said it could take 30 days to review, I will begin calling tomorrow for updates. I am seriously impatient and going out of my mind. I want to have my surgery date so I can relax!
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I spoke with my surgeon coodinator on Thursday and she faxed over the same paperwork I did on Wednesday. She also spoke with someone with the insurance company to point them out to each detail. I called back on Friday for an update--nothing. I called again this afternoon--nothing! I am getting anxious and can't stand it.
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I have read that a lot of people got really bad headaches after starting their pre-op liquid diets. I am prone to migraines and this worries me. I don't have my surgery date yet because the surgeon is waiting for the authorization from the insurance. In the meantime, I have cut out all soda and caffeine to get prepared. My question is for those that have had the headaches, were they caused by cutting out the caffeine or something else?
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I have BCBS of IL so I am curious, how long did you have to wait before you received your approval? My paperwork was submitted to insurance on 8/5/11 and I am antsy to get my date. Thanks in advance for your input.
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Doctor submitted to BCBS...
Monica_Lynn commented on Epiphany's blog entry in Blog-Bloggy-Bloggier-Bloggiest
Hi. I was just wondering if you received your approval from BCBS yet. My surgeon submitted my file to BCBS of IL last Friday and just wanted to get an idea of how long I could be waiting. Thanks.