CCRNonherway 78 Posted June 11, 2013 I understand 1 karpouzian reacted to this Share this post Link to post Share on other sites
Wink 27 Posted June 11, 2013 Uhh' date=' <img src='http://www.bariatricpal.com/public/style_emoticons/<#EMO_DIR#>/sad.png' class='bbc_emoticon' alt='' /> should be Thursday at this point (per the Customer Service Rep)... I guess I'll keep at it 'till then. Then the testing, and assuming that all turns out ok, then we have the surgery... Still hoping for the middle of July, but I guess we'll see.[/quote'] Keep the faith! The same thing happened to me two weeks ago, the surgeon's office assured me that it was a typical denial, I reached back out to my primary care and she resubmitted my surgery clerance and her agreement for me to hve the surgery and I waited... That was memorial weekend. I recieved a call from the surgeon saying that they recieved my approval on Tuesday June 4th, I recieved my surgery date on Thursday, June 6th. My surgery date is June 26th!!!! When the admin let me know that I was approved I explained that I wanted the next available surgery date and that's what happened! I'm so excited!! Cigna is something else but just stay on them. 1 CCRNonherway reacted to this Share this post Link to post Share on other sites
karpouzian 94 Posted June 11, 2013 And... The day I decide I'm NOT going to check in the status, my wife calls me and tells me I've been approved! 1 Sharshar09 reacted to this Share this post Link to post Share on other sites
CCRNonherway 78 Posted June 12, 2013 And... The day I decide I'm NOT going to check in the status' date=' my wife calls me and tells me I've been approved![/quote'] Hooray! Congrats! 1 karpouzian reacted to this Share this post Link to post Share on other sites
Wink 27 Posted June 12, 2013 And... The day I decide I'm NOT going to check in the status' date=' my wife calls me and tells me I've been approved![/quote'] Congrats!!! Share this post Link to post Share on other sites
Wink 27 Posted June 12, 2013 Well' date=' I was denied by my insurance... I called my insurance company today and I was told my prior-authorization was denied. They apparently did not receive the separate evaluation from a different physician recommending for bariatric surgery and approval for surgery. I had an appointment for that specifically on the 24th of May, and it was sent over to my Surgeon's Office on the 28th of May (and they confirmed receipt). I SHOULD have asked if there were any other reasons for the denial, but I'll probably ask on another day. I've emailed my insurance coordinator at my Surgeon's office to see if she has any more clarification she can offer, and she did state that she sent the information with the initial prior-authorization, so she has faxed it again twice today. I guess I'll call again tomorrow to confirm they received her fax, and to see if there were any other reasons for the denial. Ahh well, there is always an appeal. Does anyone think I should maybe go to a supervisor, or is that going to do me more harm than good?[/quote'] No I don't rethink is will do u any harm, but that denial is what I call a "soft denial" if u will, the same thing happened to me and when I verified that the information was resubmitted it took abt 2-3 days n I recieved my approval Stay positive!!! Share this post Link to post Share on other sites