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jen~ ins. guru

LAP-BAND Patients
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  1. Well I work for my primary doctor so I wanted to sumbit my own approval request (I'm totally OCD lol) but my insurance company (bcbs Arkansas) said my surgeon had to sumbit it. I think normally the surgeon submits it. Don't be afraid to stay on top of ur docs to make sure they are doing what they are supposed to for u.
  2. A predetermination letter is what ur doctor needs to submit to the ins company to get approval foe the surgery. Normally it includes a letter of medical necessity stating why u need the surgery and how u could benefit medically. They will also include lot of ur medical records. Its also called a PreD letter and u should ask ur doctor if they have faxed it to ur insurance company yet. Normally takes 3-5 days for them to decide if they are going to cover the surgery but could take up to two weeks. If they deny it don't get discouraged u can always request an appeal. Good luck!!

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