Bcbs Tx

[lfrank559 0]

I have just started my journey. My insurance just denied all my initial blood work and my endoscopy! Does anyone have experience with bcbs Tx that is familiar with the appeal process? Any suggestions as I try to get approval?

[Moffett84 11]

I also have bcbs tx my surgery is wednesday and was approved however like you my bloodwork too for almost 1300$ was denied... come to find out the diagnosis code they used is why is denied they billed unspecified ibesity insurance said they needed to be more specific called md office and they have fixed it but is still in process w insurance to reprocess


GBP March 8 2017

[lfrank559 0]

I am finding out that bcbs Tx has exclusions for diagnosis. I am working with my Dr. In order to re-submit using different codes. So if you know which codes work for Texas please share.

[Moffett84 11]

From what i was told the obesity unspecified isnt a coverd diagnosis but rather i think it was severe morbid obesity due to excessive calorie intake

GBP March 8 2017