Who else is waiting on approval?

[DreamsOfSkinny 53]

Update - the surgeon's office just called to verify all my info before submitting it to the insurance. WTH?? My last appointment was 12/6 with the plan that it could take most of December for the insurance to approve meaning a January surgery date. I called on 12/18 and the coordinator told me it was submitted 12/17. I was upset about that because they could have submitted sooner. Come to find out' date=' the letter was DATED 12/17 but hadn't been sent yet. So they are submitting today. I understand that they were closed a few days for the holiday and they're busy, etc. BUT it took them almost a whole month to submit. So now I may not know anything until mid to late January. And if they deny then it just pushes the dage out even further. It just screws up my whole plan....[/quote']

That's kind of a long time to be sitting on paperwork. I took over doing my own appeals to get it done faster and better--sadly.

[jamari 12]

Yay for you!! Exciting!!

Thanks a lot

[banditchic 83]

Update - the surgeon's office just called to verify all my info before submitting it to the insurance. WTH?? My last appointment was 12/6 with the plan that it could take most of December for the insurance to approve meaning a January surgery date. I called on 12/18 and the coordinator told me it was submitted 12/17. I was upset about that because they could have submitted sooner. Come to find out, the letter was DATED 12/17 but hadn't been sent yet. So they are submitting today. I understand that they were closed a few days for the holiday and they're busy, etc. BUT it took them almost a whole month to submit. So now I may not know anything until mid to late January. And if they deny then it just pushes the dage out even further. It just screws up my whole plan....

That wasted time is frustrating. I'm sorry I feel your pain. My dr just resubmitted (I hope) more paperwork today after getting a denial. Hang in there.

[ebonisekim 1,713]

Update - the surgeon's office just called to verify all my info before submitting it to the insurance. WTH?? My last appointment was 12/6 with the plan that it could take most of December for the insurance to approve meaning a January surgery date. I called on 12/18 and the coordinator told me it was submitted 12/17. I was upset about that because they could have submitted sooner. Come to find out' date=' the letter was DATED 12/17 but hadn't been sent yet. So they are submitting today. I understand that they were closed a few days for the holiday and they're busy, etc. BUT it took them almost a whole month to submit. So now I may not know anything until mid to late January. And if they deny then it just pushes the dage out even further. It just screws up my whole plan....[/quote']

That's what happen to me my last appt w the surgeon was on the dec 3 the nurse said my paper was gone be submitted a week from that date ha funny my paper didn't get sent in until dec 26 that goodness I called insurance today there turn around time is 24 to 48 I'm excited

[Jen35 283]

So I called Cigna today to check the approval status. I was told I was denied because my doctor isn't in network. I called Cigna prior to starting this whole process to verify that the program, etc. is in network.

I called the insurance coordinator at the office and she already knew. She said she thought my doctor was in network. Thankfully, the rep at Cigna verified that the other surgeon in the program is in network. So, I'm switching surgeons. The other will be in the OR with him (they always have 2 in each surgery), so no big deal. The insurance coordinator is calling Cigna today to switch everything so they can review it again for approval. Should know more in a few days (hopefully!). That was the only denial reason so, I'm hoping they don't come up with another reason to deny.

[DreamsOfSkinny 53]

I'm still a part of this group----sadly! Hoping this changes soon. Just overnighted it to my insurance. 16 days in counting for a response!

[DreamsOfSkinny 53]

I'm still a part of this group----sadly! Hoping this changes soon. Just overnighted it to my insurance. 16 days in counting for a response!

Overnighted 2nd level appeal package -- haha yes it was about 3" thick.

[Ballermom 803]

Overnighted 2nd level appeal package -- haha yes it was about 3" thick.

I pray that you get Approved soon!

Good luck

[ArcusX 216]

So I called Cigna today to check the approval status. I was told I was denied because my doctor isn't in network. I called Cigna prior to starting this whole process to verify that the program, etc. is in network.

What a PITA. It didn't even occur to me to check to see if the doctor was "in network" or not (I have Cigna too). Why would the office waste all their time only to not get the payola at the end??

Submitted 12/19. I was told 10-15 business days... still waiting!

[Ballermom 803]

So I called Cigna today to check the approval status. I was told I was denied because my doctor isn't in network. I called Cigna prior to starting this whole process to verify that the program, etc. is in network.

I called the insurance coordinator at the office and she already knew. She said she thought my doctor was in network. Thankfully, the rep at Cigna verified that the other surgeon in the program is in network. So, I'm switching surgeons. The other will be in the OR with him (they always have 2 in each surgery), so no big deal. The insurance coordinator is calling Cigna today to switch everything so they can review it again for approval. Should know more in a few days (hopefully!). That was the only denial reason so, I'm hoping they don't come up with another reason to deny.

Praying that you get approval soon!

[banditchic 83]

I was denied by cigna first time around, but approved last week! My thoughts and prayers are with all of you that are still in the "waiting" stage. I know how consuming (and stressful) this stage is. Hang in there, and keep us posted!

[Ballermom 803]

I was denied by cigna first time around' date=' but approved last week! My thoughts and prayers are with all of you that are still in the "waiting" stage. I know how consuming (and stressful) this stage is. Hang in there, and keep us posted![/quote']

Congrats to you!

I agree

Hang in there all who are waiting for an Approval!

[banditchic 83]

Congrats to you!

I agree

Hang in there all who are waiting for an Approval!

Thank you

[DreamsOfSkinny 53]

A lot of positive thoughts, visualizing my goal to obtain it, and prayers!!!

[Jen35 283]

I was denied by cigna first time around, but approved last week! My thoughts and prayers are with all of you that are still in the "waiting" stage. I know how consuming (and stressful) this stage is. Hang in there, and keep us posted!

Congrats!! I'm hoping I'll hear something by the end of the week. Even if I'm approved, I don't think I'll be able to schedule surgery until February anyway due to work conflicts. Just found that out:(