Supposedly submitting today

[faithmd 14]

Well, it's been a week since my first appointment with the surgeon (March 27th) and I've called a couple of times to see where they are in the submittal process. On Friday (March 30th) they said they didn't have my diet history done (which the nurse I befriended told me she'd do on Wednesday). I had taken every little thing they would need, it was totally organized, cross-referenced and color coded (No, I'm NOT kidding). So I anticipated this would go quickly, and was TOLD this would go quickly. Well this morning the person who answered the phone said they were still waiting on the dictation from the surgeon (the nurse had told me that he dictates the next day). I got a little teensy bit annoyed and asked why on earth does it take a week to dictate? And after a week, what are the chances the dictation will be fully accurate (he wasn't taking notes when he saw me, three hours and fifteen minutes late...). So the first person transferred me to the voice mail for the office manager. The office manager calls me back (Janet) and tells me that it was dictated the next day, but it takes a week for the trascriptionist to type it a inter-office mail it back to them. Pffffft!! Ridiculous. And Janet assured me that I was a rare case who came in with everything done, she said usually they have a few weeks to get their stuff taken care of. I was not pleased. So anyhoos, she said she's thinking it will be submitted today. My case manager, Lynn (I love her), from my insurance company also called and spoke with the insurance lady (Lynne) at the surgeon's office to ask about it and she was also told they will submit this afternoon. Woohoo!

Keep your fingers crossed!

[faithmd 14]

Had a phone call a little bit ago from my Case Manager and she's received my stuff! We went over it and I gave her my newest weights from my MD appt last week and from my cardiac rehab on Monday. She said she might be able to get back to me today, but I told her to just tell me tomorrow.

Come on tomorrow!

[faithmd 14]

DENIED!!!!!! I didn't lose the 5% required by my insurance company over the past year.

I had a heart problem (since been fixed) and went on a medication that made me totally sedentary. I didn't want to do a stinking thing! And I gained 27lbs on it.

My high was 371, my starting weight (the one they use) was 344. So in order to qualify I have to be 335. Granted I've lost weight (I'm now 347.6), but even with a letter from my doctor stating that the weight gain wasn't totally my fault, and even with my case manager pleading my case to the medical director for the Ins Co. I'm denied!

I can try again next month...

One positive thing, it only took a couple of hours...

[chubbola 0]

faithmd---

omg- you sound just like me-walking into the bariatric clinic with the utmost of organization! a month isn't so bad...even though in our shoes a day feels like an eternity...keep up the faith! keep me posted!

[juliegeraci 7]

Faithmd, relax. You should be okay. Just make sure you follow up. Julie