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Insurance Needs More Info



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Got a letter from my insurance today (IBCBS) and they are requesting The Clinical Information necessary to review the request. Anyone have any idea what this is? Could it be the psychological eval? I'm so excited. Can't wait to get approved. Thanks all!

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The clinical information should be the documentation from your regular doctor and your surgeon showing medical necessity. I think.

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So many hoops to navigate -- you're getting there! I would check in with the surgeon's office to make sure they are on top of providing the insurance company with whatever it is they need. Then I'd check with the insurance company that they received it. Good luck with all -- it's happening!

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Thanks all. I spoke to my surgeon's office and the insurance company has everything they need. They have confirmed they will be sending my approval letter in the next day or so! I'm so excited.

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My doctor sent a referral for a consolation to my insurance. They did not have correct information and didn't even give reasons. So my insurance company denied it since it was not medically necessary. Should I go to another doctor what should my referral say to get approved? Help me.... I was so disappointed

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What should my doctor have documented and what's the best way to prove it's medically necessary so that my insurance will approve my referral. What should I tell me doctor? My b.m.I is at 38 and I have high blood pressure and borderline diabetic.

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