Nelsondevon05

I have been working with La Jolla Weight Managment and Dr. B and I am scheduled for surgery on 7/14/10 but Tricare Prime declined my authorzation because they needed a refferal submitted from my Primary care provider, so i got the referral from them but they submitted it to Balboa Naval Hospital and they accepted the refferal but I want to do it through La Jolla weight managment for numerous reasons. Does anyone know how or if i can get Tricare to submit the authorization to LWM instead of Balboa or is there anyway i can just pay like a large copay and have Tricare Prime pay for the rest of it? Any ideas are greatly appreciated Thanks, Devon

I need some help ASAP i currently have Tri Care Prime and have meet with Dr.B and I am scheduled for surgery on the 14th of this month(and i am currently on the 10 day liver shrinking diet:eek:). Beverly from LWM submitted the authorization to Tricare and it was declined because they needed a consult to be submitted from my primary care doctor. I met with him yesterday and he submitted it but he told me the way it works was that he would submit the consult to Balboa Naval Hospital and that they would either accept the surgery or have it discharged and returned back to tricare and then it could go to a third party.Has anyone heard of this or is it BS? I spoke with Balboa this morning and the accepted the consult. so does anyone have any advice on how to get Tricare to authorize it through La Jolla Weight Managment instead of Balboa because i have already done everything through Dr. B (i.e met with dietician and blood tests) and Balboa has a bunch of hoops they make you jump through befor they do anything. So I would prefer to do the surgery through him because he has great reviews and an awsome staff. Any help is greatly appreciated, Devon