Guest billiebranham Posted January 23, 2004 Today I received the dreaded denial letter and the reson for denial was, "Is investigative per our medical policy". I hadn't heard this one before. I plan on appealing but was wondering if anyone had any ideas where to start. I appreciate any responses! Thank you! Billie Share this post Link to post Share on other sites
Graceful One 4 Posted January 23, 2004 Billie, I would speak with the insurance coordinator in your office as Inamed is appealing denials on behalf of patients based on the exact same reason. Share this post Link to post Share on other sites
Ginger2120 0 Posted January 23, 2004 Billie, I was denied for the exact same reason, but I filed an appeal and insurance eventually covered it. Definetly talk to the insurance coordinator because surgeon's will often write letters and send information from Inamed that supports the fact that the Lap-Band is no longer experimental. Good luck to you, Janel Share this post Link to post Share on other sites
Guest billiebranham Posted January 24, 2004 Thank you so much for replying! Now I know there is a possibility of this decision being reversed. My doctor just moved to another city the other side of the state and when his office called me they said he is having a hard time getting his practice organized so everything is running behind. Hopefully they will take the time to help me beat this. Thank you again! Billie Share this post Link to post Share on other sites
TraciLJ 0 Posted January 26, 2004 Billie: I just called my docs office to check to see if the psyc eval got there yet. (it hasn't) Anyway, the coordinator wanted me to know that they recently received a denial from BCBS of MN for the reason that they now consider the LAP-BAND experiemental. The office has enlisted the assistance of INAMED in the appeal. You may want to check with your doctor's office to see if they're doing the same. And, if they're not, ask that they do. Share this post Link to post Share on other sites
