Nutritionist consult and surgery center denied

[agirlofaith 71]

Just received my bcbs anthem EOBs and they are denying both the nutritionalist and surgical center consult charges!! WTHeck!

From what I've been told GoodYear bcbs is a great insurance, wonder why they are denying!

[mom2lucky (suznc) 81]

BCBS denies a lot of claims initially. I work for a hospital & we have a hell of a time getting our payments from them. Two things could be going on. The providers could be considered out of network or the claim is not coded in a way that will be covered. My nut & psych did not participate with my provider (Cigna) so those were out of pocket expenses for me. Call your doc's office & see if they have more information about the rejection. I hope it works out for you.

[agirlofaith 71]

Found out today that surgery was denied because I was 39.9 BMI with no morbidities. She said to run in and she would reweigh me- I've never been so happy to have gained 4 pounds over the holidays!

Today's BMI is 40.6- she said she is faxing to insurance and should hear back by next week!!

She said I will have a date set before the end of feb for surgery! I'm SO EXCITED!!!!!!!!

[mom2lucky (suznc) 81]

Yay!! For once it's a good thing to gain weight! I'm excited for you!

[ElleG 394]

YAY! I was thinking there was a problem with the coding too. I always stay in network to have the bills covered I don't want to pay for the doctor bills they can get crazy. Best Wishes!! Keep us posted on your surgery date!

[agirlofaith 71]

OHHH MYYYYY GOODNESSSSSS!!!!!

I called BCBS Anthem tonight to see how the resubmit of weight went last Friday, IM APPROVED!!!!! Ahhhhhhh!!!!! It says my dos is Jan 14!! But I haven't set a date with the dr yet!! Hmmm!!!! Geez, this is crazy and fast an I'm so excited! Hope to hear from surgical center tomorrow!!

[celebrate*me 52]

Just received my bcbs anthem EOBs and they are denying both the nutritionalist and surgical center consult charges!! WTHeck!

From what I've been told GoodYear bcbs is a great insurance' date=' wonder why they are denying!

[/quote']

I have the same insurance. I have to pay 200 out of pocket for the nutr. I was told no ins covers it

[celebrate*me 52]

Found out today that surgery was denied because I was 39.9 BMI with no morbidities. She said to run in and she would reweigh me- I've never been so happy to have gained 4 pounds over the holidays!

Today's BMI is 40.6- she said she is faxing to insurance and should hear back by next week!!

She said I will have a date set before the end of feb for surgery! I'm SO EXCITED!!!!!!!!

Woohoo

[nikarjc 6]

I have the same insurance. I have to pay 200 out of pocket for the nutr. I was told no ins covers it

I have Blu cross blue shield of OK and mine covered the dietician!!

[celebrate*me 52]

OHHH MYYYYY GOODNESSSSSS!!!!!

I called BCBS Anthem tonight to see how the resubmit of weight went last Friday' date=' IM APPROVED!!!!! Ahhhhhhh!!!!! It says my dos is Jan 14!! But I haven't set a date with the dr yet!! Hmmm!!!! Geez, this is crazy and fast an I'm so excited! Hope to hear from surgical center tomorrow!![/quote']

U lucky thing u lol I have to do 6 months of weight management first.

[celebrate*me 52]

I have Blu cross blue shield of OK and mine covered the dietician!!

Idk maybe it's the hospital it sucks tho.

[ElleG 394]

I have Blue Care Network and they won't cover a dietician either. Seems like if they would pay thousands for the surgery they would cover something that small to help u b successful.

[melynie 10]

All my dietician appts been covered 100%

[sunshine413 343]

I have the same insurance. I have to pay 200 out of pocket for the nutr. I was told no ins covers it

I have BCBS, they covered all my nut appts

[agirlofaith 71]

I wish my phone would ring!!! Why is this taking so long?? (Said in my whiniest voice ever!)

Just want the date, and know the next steps till I get there, and have a plan!! Puuulllllleeeeeezzzzeee call me!