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Everything posted by 0tracy0
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waiting on Aetna peer to peer review for approval
0tracy0 replied to shasha's topic in Insurance & Financing
My doc did a peer to peer review with one of the medical directors at Aetna. I didn't get approved. I found out Wednesday that I was approved through doing an appeal. Thank God!!! I'm just waiting on my surgery date. Good luck. -
Who wants to play? Approved or Denied - Aetna
0tracy0 replied to Miss Piggy's topic in Insurance & Financing
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Who wants to play? Approved or Denied - Aetna
0tracy0 replied to Miss Piggy's topic in Insurance & Financing
I hope u get approved. Aetna denied me twice. I just found out that I was approved Wednesday through appeal. -
Good luck!!! : )
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Aetna Sleevers - Share Your Approval And/or Denial Experiences Here!
0tracy0 replied to funkeechiggen's topic in Insurance & Financing
I was denied twice by Aetna. I just found out today that my appeal was approved. Thank God!!!! -
Just found out after being denied twice that I'm finally approved. Thank God!!!! A
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A peer to peer review is when your surgeon talks with the medical director and tell them why the surgery would be medically necessary.
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Have you tried a peer to peer review?
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Has anyone out there ever used Lindstrom Obesity Advocacy? If so, were they able to get you approved?
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Hi everybody. Has anyone had to do a peer to peer review? If so, how long did it take to get an answer?
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I have Aetna.
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Honestly, I'm going to try a different surgeon.
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I was told that once a doctor does a peer to peer and it gets denied then that's pretty much all they'll do.
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When I asked the lady at the office why I was denied, she had no clue. I think I need to find a different doctor.
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I feel you. After about 2 weeks, my doctor finally did my peer to peer review yesterday which got denied. When I asked the lady from the office why I was denied again, she had no clue. You would think she would have that information. It's kind of important. I just don't think the doc and her staff did all they could do to get me approved. I'm think I'm going to try my luck with a different doc.
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Peer to peer review was denied.
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I guess so. They office just called me and told me that the peer to peer review was done and denied.
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I was just denied again with the peer to peer review. My next step is to do an appeal.
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Congrats!!!!!!!!!
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I'm really concerned because my surgeon seems to be too busy to complete the review. It's going on 3 weeks since I was actually denied.
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Oh my gosh...APPROVED! (After being told verbally I would be declined.)
0tracy0 replied to flmama's topic in Insurance & Financing
Congrats. That gives me a little bit of hope. My doc has to do a peer to peer review with Aetna. -
I was denied by Aetna about 2 weeks ago. My doc is doing a peer to peer review to see if she can get their decision overturned.
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I got down to about 165. My BMI right now is over 50.
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I got down to about 165. My BMI right now is over 50.
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Approved, approved, approved!
0tracy0 replied to Tyas84's topic in Tell Your Weight Loss Surgery Story
Congratulations : )