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Submitting to Insurance!



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I'm soooooo nervous! Today was my final nutrition visit, and I am on cloud 9. My insurance, Highmark BCBS required that I do 6 months of nutrition, and a phych evaluation which has all been completed. They plan on submitting to my insurance today. My BMI is 37.9, it was higher but I have lost a little weight during my 6 months nutrition. I also have other comorbities so I am praying I get approved. Let the waiting game begin, as I bite my nails[emoji23]

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I'm soooooo nervous! Today was my final nutrition visit, and I am on cloud 9. My insurance, Highmark BCBS required that I do 6 months of nutrition, and a phych evaluation which has all been completed. They plan on submitting to my insurance today. My BMI is 37.9, it was higher but I have lost a little weight during my 6 months nutrition. I also have other comorbities so I am praying I get approved. Let the waiting game begin, as I bite my nails

Best wishes. I would wait a week and then follow up if you don't hear anything. I waited two weeks and then called the surgeon's office and miraculously my decision had just came through.

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Good luck, I thought I was submitted on April 13th only to find out the submission was incomplete and when I called the surgeons office I was given the run around about waiting on results from some test that NEVER happened and I did not need because my endoscopy was totally normal.

UGH

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You'll get the approval in 24 hours BCBS is quick with approvals.

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I hope so...once they figure out how to submit it properly

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Mine was also submitted on April 12th. I am in hopes of quick approval but CIGNA is notorious for rejecting prior to approval. They rejected the removal of my lap band - had to have a peer to peer consult before approval.

Fingers crossed for everyone to receive approval.

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Mine was also submitted on April 12th. I am in hopes of quick approval but CIGNA is notorious for rejecting prior to approval. They rejected the removal of my lap band - had to have a peer to peer consult before approval.

Fingers crossed for everyone to receive approval.

Hi @@WantToBe :) I'll keep my fingers crossed for you! I am with Cigna and the girl at my surgeons office said lately she couldn't believe how fast approvals started coming in from them. Lots were within 1-3 days. I will be praying for a quick approval for you!

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Thanks, B_D. Wouldn't that be wonderful to have approval so quickly! I have had WLS before so not sure why I am so nervous this time. I'm 12 years older yet 100 pounds lighter so it might be a wash. I'm looking forward to see what April 2017 brings for me and all other sleevers.

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Mine was submitted on the 11th to Cigna and I am still waiting...automated system says "pending." This part is driving me nuts, I just want to know it's approved no matter how far out they schedule me, at this point I would just be happy to have a surgery date.

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Mine was submitted on the 11th to Cigna and I am still waiting...automated system says "pending." This part is driving me nuts, I just want to know it's approved no matter how far out they schedule me, at this point I would just be happy to have a surgery date.

Yes, having a surgery date makes it so much more real. Cigna should have just 15 days to approve or deny (or ask for further information). So you should hear something by the 26th. Hopefully it won't be that long!

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Edited by B_D

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Well, I am still waiting... Errrr! The suspense is killing me!!! I called the Drs office to make sure it was submitted last week. haha! They said it was so we will see!! I'm dying to know!!!

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That is awesome congrats. Mine was resubmitted yesterday and I am hoping dor a quick approval so I can have a May date as well

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Got the call!!!! I was approved!!! I'm so excited!!! My surgery date is May 10th!!! Eeeeek!!!

Congrats to you!!!! ????

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