Aetna denied me how long does it take for a peer to peer?

[Joymarie333 41]

Aetna said they denied me because I didn't have paperwork proving that I did a three month weight loss program but I did i'm waiting for west medical to do a peer to peer does anyone know how long that takes?

[Nylaj 45]

Depends on your Doctor.

Aetna usually states they have so many days. I think it use to be 7 days from the date on the letter.

If the Doctor doesn't do the peer to peer, it will be denied based on lack of documentation.

You can send the clinicals, if you have them that is.

If it is denied due to the doctor not doing the peer to peer, call & ask Aetna what they need from you that they didn't get from the doctors office. You can appeal your own case. You have that right.

*FYI -- this is my job. I do this every. single. day.

LOL.

Good luck. Let me know if you have any other questions or concerns!

[ssflbelle 829]

Nylaj Is Coventry under the Atena umbrella or are they a totally different insurance company? I have the Coventry Summitt plan down here in Florida. I have a Insurance Case Manager and when I get calls from her I see the Id as Atena. She told me she had to do research on what requirments Coventry Summitt wants for the sleeve and she would get back with me. Would you happen to know what the fine details are for Coventry Summitt Insurance to approve me?