Peer To Peer

[JerseyShoreDisneyDiva 113]

Fighting with the insurance company. My surgeon is scheduling a peer to peer with them. Does anyone know how long this process takes and what the outcomes generally are? So ticked cause I was scheduled for 11/20, then 11/26, now 11/29. I hope it doesn't need to get changed again. Praying I get good news soon.

[♥LovetheNewMe♥ 1,216]

Cann take up to a week or it can happen within a few days. Insurance companies sometimes just need to have a physician do a peer to peer to explain something. Good luck!

[SinCityGal 43]

My surgeon did mine on the 13th.......Still waiting to hear from them! I'm scheduled for surgery Mon. the 19th...

Wishing US lots of luck!

[JerseyShoreDisneyDiva 113]

Nothing like waiting til the last minute, huh? Good luck and update us as soon as you hear.

[SinCityGal 43]

Still waiting.....I guess Mon. won't be happening! Have you heard anything?

[JerseyShoreDisneyDiva 113]

Still waiting.....I guess Mon. won't be happening! Have you heard anything?

Nope, not a thing. Ugh......

[JerseyShoreDisneyDiva 113]

Still waiting.....I guess Mon. won't be happening! Have you heard anything?

Sadly, no. :-( Did you do your pre op testing? Are you on a liquid diet?

[SinCityGal 43]

The surgeon that I go to does not have a pre op diet. I've done all the labs, psych eval, 6mos supervised diet etc...

Did your dr. do the peer to peer yet?

[JerseyShoreDisneyDiva 113]

The surgeon that I go to does not have a pre op diet. I've done all the labs' date=' psych eval, 6mos supervised diet etc...

Did your dr. do the peer to peer yet?[/quote']

Still waiting for the peer to peer. Everything else is done. He usually does a pre op diet with his patients, however, I do not have one because I have already lost 25+ pounds on my own since September under the supervision of my dietician.

[SinCityGal 43]

Did they say the reason behind the denial? Great weight loss by the way!

So bummed, I wish I knew something?

[JerseyShoreDisneyDiva 113]

Thank you! They said it wasn't medically necessary. I have sleep apnea and a BMI of 43. My surgeon did say that of all the insurance companies, CIGNA is the most difficult to deal with. Figures cause that is what I have!

[SinCityGal 43]

Ummm, that should be more than enough!?

[utkscvol1 125]

I can Attest to Cigna being difficult! Even with routine testing they make it difficult!