Medical Necessity and Medical Clearance Forms

[AKessler731 2]

I talked to my insurance coordinator yesterday and she said after I do my Psych visit and my nutritional counseling all I still need to have is my Letter of Medical Necessity and Letter of Medical Clearance from my PCP. I went to them and got a referral so I thought that took care of all that but I guess not. I called and left my dr a message about this and one of his nurses called me back and said she would "get it taken care of". I'm guessing they send that over to the dr? Any advice on this?

[JillianRN 0]

I talked to my insurance coordinator yesterday and she said after I do my Psych visit and my nutritional counseling all I still need to have is my Letter of Medical Necessity and Letter of Medical Clearance from my PCP. I went to them and got a referral so I thought that took care of all that but I guess not. I called and left my dr a message about this and one of his nurses called me back and said she would "get it taken care of". I'm guessing they send that over to the dr? Any advice on this?

Be persistent and keep a copy of the letter that he sends. I have a great PCP but sometimes he is a little slow:)...A friendly status chack goes a long way..

[crecia1975 4]

I talked to my insurance coordinator yesterday and she said after I do my Psych visit and my nutritional counseling all I still need to have is my Letter of Medical Necessity and Letter of Medical Clearance from my PCP. I went to them and got a referral so I thought that took care of all that but I guess not. I called and left my dr a message about this and one of his nurses called me back and said she would "get it taken care of". I'm guessing they send that over to the dr? Any advice on this?

You need them to actually write a letter saying you are clear to have this surgery and it's neccessary. My PCP had me write up all of my weight loss attempts, how much I lost/gained and what failed in the attempt (most dr's don't make you do that, but mine wanted all of it for my chart). Then she wrote a wonderful letter stating I needed this or I could get HBP, diabetes or have a stroke. She talked about my weight loss attempts in the letter. I just had my husband pick it up for me and I took it to my surgeon's office during my next visit. Be sure to make a copy because my surgeon's office thought they lost mine on my last visit, but they found it right away in my other file.