BCBS of AZ denied!

[Janett 87]

After a long journey all my documents were sent for approval, 5 days later I got denied. My surgeon's office will send an appeal letter on Monday hopefully I get approved

Any suggestions?

Should I call BCBS my self?

[NewAshes 232]

You should find out why you were denied

[AmandaRaeLeo 2,146]

I went to Dr. Aceves in Mexicali, Mx as a self pay.

Amanda Rae

[Janett 87]

According to BCBS, I havent had a co-morbid condition for the past 5 yrs (which I have) thats why it doesn't make sense

[NewAshes 232]

You should talk to your doctor or surgeon make sure they did the paper work correct.

[Janett 87]

I will on Monday... Thank you

[jd1988 10]

I would defiantly call your insurance to find out if the doctor sent in ALL of your paperwork....my doctors office forgot to send in my psych evaluation and didn't even list my co morbidity... So that is the reason I got denied within two days... I called both everyday!!! Don't assume they sent in everything... I appealed it and finally was approved yesterday... Stay on it... Hope this helps

[Janett 87]

I will call both places.. My surgeon's office should be sending the appeal letter on Monday ...Hopefully it gets approve if not, we're going to do a peer to peer etc etc I was so exited and ready! Now its waiting time again thanks!

[jd1988 10]

Yeah my doctor did that and he kept canceling and rescheduling... It's really frustrating.... After I thought I was done with all my stuff the doctor kept saying you got to do this in that... Do you have a surgery date ??? I had one before I was even approved..

[Janett 87]

No surgery date yet they wont give you a date until your approved ...

[jd1988 10]

I think they approved me because I made sure I let them know that my medications cost a lot so they would actually save by having the surgery... So if you have a co morbid condition try in use everything you can hopefully your doctor just forgot to include something... Something that can just be re sent in or whatever... I was scared because my supervised diets I had to do my doctor didn't document enough so my surgeon said they will pretty much deny you for that... I was so disappointed.... Just keep trying and if they deny appeal it again and again..

[Janett 87]

I wonder how many times you can appeal?

[jd1988 10]

I think you can always appeal so if you get denied you can appeal so I don't think there is a limit

[Janett 87]

Good to know