HighMark Blue Shield

[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.

[lisahg 9]

Hi

I have Highmark BCBS too and am hoping to be approved for the sleeve. My paperwork was submitted last week but havent heard anything yet. I plan to call them a couple times a week until I get approved/denied. When I contacted Highmark to comfirm my paperwork was received, I was told a predetermination could take 4 weeks. I didnt question them on it but that just seems like a crazy amount of time! Please do a follow-up post to let me know how you make out with the insurance.

Lisa