Has anyone been approved after peer to peer consult?

[sunshine210 13]

...after first being denied? Got the phone call today from insurance that I was denied but my surgeon is appealing with a peer to peer consult tomorrow morning. On pins and needles here...

[Sleevarilla 169]

I was approved with first letter, but a friend of mine was denied. She was approved about a week after a peer to peer review.

[Ladiec2 74]

Sorry to hear that but why were you denied?

[sunshine210 13]

Saying "medically unnecessary." I've been diagnosed with sleep apnea which is technically my only comorbidity but I have other issues like reflux, joint pain, HPB (non-medicated: she said she wants to wait to see if it comes down with weight loss!), elevated triglycerides...

Oh and I'm MISERABLE, it seems your mental health should be considered too shouldn't it?? Btw I'm just above 35 bmi which I guess is working against me. I'm 5'5' and 215 and would like to be 125ish which is still 90lbs away. I know it's not 100s but its still unattainable to me without help. Sigh. Should hear something by this afternoon. Fingers crossed.