Denied by insurance

[Grammy271 1]

I called my insurance company today to check the status on approval, totally shocked when the rep told me I was denied. I followed everything to the letter. 6 month physician supervised diet, nut. consult, psych eval, sleep study, ekg, stress test, upper gi, lab work, chest xray etc... They said I did not do 6 month physcian supervised diet. I called my doctors office and they did not have the denial back yet as the insurnace just decided yesterday. The doctors office said they will take care of it and get the paper work submitted that they needed for approval. I have a surgery clearance appointment on 03/02/11. I asked if I should cancel they said absolutely not. I have bc/bs alabama and I would like to hear from anyone who has bc/bs alabama and has been approved. I am not giving up, just a little discouraged right now. I know lap-band is right for me I have several health issues, and I really want to be healthier.

[Starrz 0]

Your lap band surgeon is in the business of making money on the surgery, not the prelims... If they say they will get you approved, be reassured it will be done. You did your part the way you were supposed too... good luck and stay on them to correct it.

[starimagine 1]

I called my insurance company today to check the status on approval, totally shocked when the rep told me I was denied. I followed everything to the letter. 6 month physician supervised diet, nut. consult, psych eval, sleep study, ekg, stress test, upper gi, lab work, chest xray etc... They said I did not do 6 month physcian supervised diet. I called my doctors office and they did not have the denial back yet as the insurnace just decided yesterday. The doctors office said they will take care of it and get the paper work submitted that they needed for approval. I have a surgery clearance appointment on 03/02/11. I asked if I should cancel they said absolutely not. I have bc/bs alabama and I would like to hear from anyone who has bc/bs alabama and has been approved. I am not giving up, just a little discouraged right now. I know lap-band is right for me I have several health issues, and I really want to be healthier.

It is normal to to not get approved first. They usually submit your paperwork without all the document first to get your insurance company in the process. about a day or two later it should be approve. Your doctors office will submit all the documents. The same thing happened to me. My surjury date is March 1. The same exact thing happened to me. I got my approval letter in the mail this pass Friday.