Insurance Wants 6 Month Diet That They Already Have!

[valdostaGA 149]

They say they only have the last 2 months of my 6 month diet but hell if they just look through the paperwork they will see the whole damn 6 months was completed!! Wow they make things so difficult!! My coordinator is resubmitting it to them, but she has comfirmation that she did send it! Be so glad when this is over!!!

[mel2643 68]

I am going through something similar , My paperwork was submitted on 8/16 and I just received a letter from the insurance company stating that they were unable to substantiate medical necessity for the surgery .. My BMI is 43.5 and I have sleep anea and pre diabetic ... Just more hurdles to jump through

[FDclerical 318]

I am going through something similar , My paperwork was submitted on 8/16 and I just received a letter from the indurance company stating that they were unable to substantiate medical necessity for the surgery .. My BMI is 42.6 and I have sleep anea and pre diabetic ... Just more hurdles to jump through

awww im sorry! do you have to appeal this now

??? good luck to you!!!! im praying everything works out for me hopefully!!!

[lmbordelon 14]

My insurance company requested more paperwork because they the way my doctor's office submitted my 6 month diet was not the exact way they wanted it. They have a to have a particular sheet filled out of each month. They would not take any other form of paperwork. Maybe that is all your insurance will need...once they got that paperwork they approved me within a couple of hours! So fingers crossed for you!!!! Good Luck!

[mel2643 68]

awww im sorry! do you have to appeal this now

??? good luck to you!!!! im praying everything works out for me hopefully!!!

Well it was not an official denial , so I am still waiting ... what I did was provide my surgeon cord a copy of the letter and she immediately started to work on it , however have not heard back as of yet ..... Please wish me luck

[mufasas-mom 170]

I also received special paperwork from UHC - so at my 6th visit I made sure that I had signed that form and told the coordinator to use this form when they send it all in. I think they had a copy of the form already - but at least I knew that I had signed this one....all done and approved in 3 business days.