My turn around time was very quick. It was submitted either Monday afternoon or Tuesday morning, and by Friday (yesterday) I had been approved. Today I got a call from BCBS Federal nurse doing a quick "pre-op" touch basis. She said she will call the hospital and check on my the day of surgery, then call me once more a couple days later. Totally painless process for me! My surgery is in 10 or 11 days (scheduled for 11, but I was told they will probably move me up a day due to a cancellation the day before.