insurance appeal

[christine2781 0]

Hello! This is my first post. I am desperate for some advice. I began this journey in January. On my thirtieth birthday, with my first appointment of a six month program. In March, I screwed up and showed up a day late for my meeting. The people at the Weight Management Center said it wasn't a big deal, happens all the time. I had a medical visit that day and they told me to come in April for a make-up meeting. I finished the program, lost ten pounds and passed surgical review board. Then I received a denial letter in the mail from HighMark Blue Shield. The letter stated I had over lapping visits in April. Long story, short. The doctors office never faxed my March medical visit to HighMark. They corrected this yesterday. Any thoughts about how long I should hear something from HighMark? Should I file a personal appeal? Surgery is scheduled for August 15, so I am a bit panicked Any advice you can offer is much appreciated.

[AutumnBlueCarmen 4]

Christine,

2 weeks is the usual time to hear from insurance, but likely earlier than that. You should have more than enough time to hear from them. Stay on top of it though. When I resubmitted for a different reason I called every week to check and see if they had received my OK. Good luck! Try to breath!