What to include in an ins appeal letter? HELP!

[jessicaanders29 17]

Just found out I was denied today. The bariatric center called and informed me. I have not received the denial letter myself so not sure exactly the reasoning. I know they mentioned more psych visits?? Bariatric center suggested that I compose a letter, along with one from the surgeon as to why this surgery is needed. If anyone has been in a similar situation and had success, please share your wealth of knowledge. I don't know what I could say that would help or be any different then what my surgeon would say. Feeling a little down today..

[gummykandi 20]

I know when I wrote one it had every diet I had ever tried, how much I lost (if any) how long I had been over weight.

[gummykandi 20]

I also had my doctor write a note saying the phrase "excellent surgical candidate" and how long she had seen me as well as a weight history. In addition to my surgeons letter

[gummykandi 20]

I know fighting with insurance companies sucks. Fingers crossed for you. :-)

[Atlgadgetgrrl 6]

find out exactly why they denied you and address those concerns item by item. You'll have a specific due date for your reply, so pay close attention to the calendar.

My first denial (I had two) was because of height inconsistencies in my medical records. Eventually, I did win.

[mwright2006 1]

Just found out I was denied today. The bariatric center called and informed me. I have not received the denial letter myself so not sure exactly the reasoning. I know they mentioned more psych visits?? Bariatric center suggested that I compose a letter' date=' along with one from the surgeon as to why this surgery is needed. If anyone has been in a similar situation and had success, please share your wealth of knowledge. I don't know what I could say that would help or be any different then what my surgeon would say. Feeling a little down today..[/quote']

Wow I thought I was the only one with having problems getting my surgery. I was denied now 2 times!!! Its very frustrating and annoying. My insurance said the 1st time that I have to be seen by the dr for 6 months so I did that then the next month literally a day before my surgery the insurance company actually called me which they didn't the first time. And told me I'm denied yet again BC of not having a 6 month diet program like going to a gym. This was yet a bs excuse they just didn't want to pay for it. Now I had to switch my insurance *** so I'm praying that I have my surgery sometime in July. I do have to give credit to my Dr and the lady that has been fighting for NY surgery. I really do need this even though I have been doing my 2 week diet and how I just try to follow that so I do loose more weight before surgery. I will pray everyone else having surgery will hopefully not have to go threw what I am going threw.

[Ginger6367 14]

Just found out I was denied today. The bariatric center called and informed me. I have not received the denial letter myself so not sure exactly the reasoning. I know they mentioned more psych visits?? Bariatric center suggested that I compose a letter' date=' along with one from the surgeon as to why this surgery is needed. If anyone has been in a similar situation and had success, please share your wealth of knowledge. I don't know what I could say that would help or be any different then what my surgeon would say. Feeling a little down today..[/quote']

Jessica..hang in there even though its hard to. I. believe we both have the same insurance company ( BCBS of MN) if I read that right in a post on a thread I started a couple weeks back. I too was initially denied and an appeal started within a two week period. My surgeon appealed it and since everything was handled by the insurance specialist at Bariatrics, I have no idea what was written. Today, after 3 weeks since appeal was started, I got my approval today. I haven't received a letter yet from insurance company, but my insurance specialist called and told me the news. So there is hope!!! July 29 is my surgery date and I am so ready!