Hey all,
I have a small hernia and GERD from sleeve surgery. My insurance is FEP Blue of MD. My doctor submitted a pre cert and FEP Blue said I needed behavioral health and nutrition visits to approve even though it’s a revision due to complications. My doctor then canceled the pre authorization and Re enrolled me to start the whole program over with again. Does this seem right ? I feel like I’ve seen other people have a very seamless process when having a complication based revision. I feel like the insurance and the doctors office is not properly communicating with me or each other. Any advice ?