Round 1 denial by Cigna

[CCRNonherway 78]

Took 7 days and got my round 1 denial. My doctor need to both clear and recommend me for surgery. He only recommended me (inferring that he cleared me too.) Not good enough, he needed to state both.

My nut submitted discussion of the three visits in one report; Cigna wants it in 3 separate reports.

So on the plus side, these seem like minor issues that can be easy fixed. On the minus side , it's disappointing that Cigna is so nit picky!

[mommyradd 115]

Mine was denied initially by CIGNA, also because my PCP didn't write "cleared" for surgery. It was corrected and a new letter submitted two days later. By weeks end, I had my approval. Hang in there, it will happen for you, too. Good luck!

[CCRNonherway 78]

Thank you! I hope these are easily resolved!

[CCRNonherway 78]

Submitted appeal on Tuesday. Hope it works this time!

[Brenda0928 145]

Submitted appeal on Tuesday. Hope it works this time!

At least they are not saying that you don't qualify fior medical reasons....it seems to just be about crossing t's and dotting i's the right way....good luck!

[CCRNonherway 78]

I agree! Thank you. This waiting is the worst!

[Brenda0928 145]

I agree! Thank you. This waiting is the worst!

I agree!!

[Iniysa 157]

Oh yeah, the waiting will kill you. LOL. It looks like you shouldn't have any problems this go round. Insurance makes everything hard.

[CCRNonherway 78]

APPROVED!!!!! Surgery date 6-25!!!! Seems so soon!

Took about 5 business days for appeal.

[Brenda0928 145]

APPROVED!!!!! Surgery date 6-25!!!! Seems so soon!

Took about 5 business days for appeal.

Congrats!! I just got my approval letter faxed to me from my insurance...the surgeon did not even have it yet so I then faxed it to them, lol....they said allow 24-48 for them to contact me to set up a surgery date and pre op stuff...more waiting, so close yet so far....lol

[CCRNonherway 78]

Congrats to you too! So much to do between now and then.