crodrigu73

They have applied and they have meet every requirement except the number of surgeries per year. They are required to perform 100 a year to be called a center of excellence however we just are not a very densely populated area.

It would be a six hour drive for us. In addition to just the distance and the inconveniece of driving that far not only for surgery but once a month for follow-ups for a year, I have small children at home. I do not want to spend extra time away from them anymore than I have to be. The only reason my hospital is not a Center of Excellence is because it does not do over 100 bariactic surgeries a year. Otherwise it meets every requirement. I should be able to get the medical care I need where I live.

I was denied today because of the center of excellence issue today. I have post a subject to see anyone else has ever dealt with this issue with Anthem.

I called insurance today and found out my case has been routed to a manager because we do not have any centers of excellence near where I live. I hope this will not cause a big delay.

Mine was submitted yesterday. Thanks for posting this questions. Can't wait to get approval and have a date.