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Irritated with Triwest



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Soooo I did everything Tricare requires I meet their requirements I did the psych eval and even had a letter from my pcm stating how I would benefit from the band and restating how I meet the requirments but that wasn't good enough. Now they want some info on the pain in my knees some how they have twisted that small bit of info into arthritic knees and I need to provide them with xrays and additional information from my orthopedic surgeon. I don't have arthritic knees Tricare they hurt cause Im fat!!! Then they don't have enough info on me in the Tricare system cause I have had a civilian pcm for the past 8 years until recently so they dont have any history on me. Now I need another letter form my pcm stating that my knees are just sore not arthritic and explaining why I dont have info in the system. Sounds easy enough butttt my pcm is on vacation for 3 weeks. His nurse is trying to see if she can do the letter for me but I doubt that will fly. Also they are saying that New Hope isnt a covered facility but it is an has been since June. How do they not know that...seriously. Too top it all off if I dont get the info to them within a few days I will have to start over and resubmit everything again....sighhhh

Sorry everyone needed to vent. I just assumed that if I met their requirments there would not be any issues with getting it approved guess not. I knew this process was going to smoothly...

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