jenlyn84
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Has anyone got denied for the sleeve because the psych evaluation letter didn't say "clear" on it? Also my surgeons team appeal it because the of course the insurance company dined me .and now I'm waiting to hear from them to see if I got approve or denied again, also when I called the insurance (CIGNA) they said it shouldn't be an issue once they receive the letter from the therapist saying "clear" for surgery on it .. ugh so frustrating because I first been started this whole process starting February 9 2017, and it was supposed to be only a 4 month check in w the surgeon and all the other things I have to follow up on that the insurance company requires ,which iv done . Question does anyone know if it took long for the appeal to come back from the insurance company(CIGNA) and if so how long?
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I work for an insurance company and I can tell you it's very important psych actually clears you for surgery. Sometimes they will submit a visit note that doesn't really address whether or not you are a candidate for surgery, or they will send an evaluation without the statement of clearance. The insurance company cannot make assumptions.
That said, this looks like a pretty simple issue to clear up. Hopefully then can just send in their eval and clearance to your company. As for how long that will take with your insurance company, I really can't tell you, but I would recommend calling them every other day or so to check status or to prioritize your case if your surgery is coming up soon. Good luck.
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