Denied...frustrated!

[LittleRed30 38]

I got a call last month from my dr. office saying I was approved...brought me in for my pre op appointment. Later that day I was called and told that No that they hadn't gotten the approval and that I might have to do the 6 month I can change program (tufts). it's been two weeks and they kept asking for more and more paperwork, which my dr. office kept sending them last night they denied me. missing clinical paperwork missing! My dr. office calls and tells me that she's working with someone and that she is going to resubmit it with the missing stuff. I call and as questions ( I hate waiting!) and the insurance woman tells me that no a denial is a denial and that my Dr. can call in and speak to the medical director one-on-one and perhaps that would be better than an actual appeal. My dr. is now on vacation till the 9th! UGH i'm so upset and frustrated right now! who is tell me the truth? did they not send the paperwork? did the insurance co mess up?? I just want my approval!!!

[lisalalani 81]

I am SO sorry! It is so hard waiting. It will happen for you. Just keep doing what the doctor says and I know it is hard, just be patient.

[Jenn31MA 149]

I got a call last month from my dr. office saying I was approved...brought me in for my pre op appointment. Later that day I was called and told that No that they hadn't gotten the approval and that I might have to do the 6 month I can change program (tufts). it's been two weeks and they kept asking for more and more paperwork, which my dr. office kept sending them last night they denied me. missing clinical paperwork missing! My dr. office calls and tells me that she's working with someone and that she is going to resubmit it with the missing stuff. I call and as questions ( I hate waiting!) and the insurance woman tells me that no a denial is a denial and that my Dr. can call in and speak to the medical director one-on-one and perhaps that would be better than an actual appeal. My dr. is now on vacation till the 9th! UGH i'm so upset and frustrated right now! who is tell me the truth? did they not send the paperwork? did the insurance co mess up?? I just want my approval!!!

Hi,

Were you denied becuase you didnt do the I can Change program with Tufts (i have them). I know from talking to the place I am going and with Tufts that they will NOT approve you until you finish this program and its 6 months long. If you havent done the program then that would be the missing documentation as they provide a "graduation" letter at the end and this needs to be submitted with the paperwork the doctor submits. Im done with my program next month and i cant wait!! Now i just need to get my surgery date. Im sorry your so frustrated but have you called Tufts directly? Wishing you luck!!

[LittleRed30 38]

I was told by tufts that I didn't need to do it because I already had surgery and the band failed. I hate all this waiting. Its not healthy

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[LittleRed30 38]

The dr. Office just ca,,led and she got the approval!! she re-faxed what they were looking for and they approved me!!! Now just waiting on a surgery date!!! August/September/October.. I don't care I just want my date!!! Onederland here I come!!!

[kamrie37 134]

The dr. Office just ca' date=',led and she got the approval!! she re-faxed what they were looking for and they approved me!!! Now just waiting on a surgery date!!! August/September/October.. I don't care I just want my date!!! Onederland here I come!!![/quote']

Awesome!

[hm734 228]

That was fast! Congrats!

[babygirl_sandy 85]

Congrats!!

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[sexysleever 93]

Congrats im excited for u

[helleva 22]

Congrats