Vent

[Codedsub 7]

Vent... having a difficult time getting bariatric doc office to submit to insurance. I did a 6 month nutritional program through my former insurance, gave release to doc office (still haven't requested it). I also did 10 months of Weight watchers from august 2016 - may 2017 and even had doctor visits in august, October, April, (and several others) where my weight was recorded and even nutrition discussed - though the visits were not specifically for that. I have talked to my current insurance several times and they are very much encouraging me to have my doc office submit for approval. Especially now since my medical tests revealed a hiatal hernia and gerd (i knew I had gerd) and that sometimes a waiver is given. However, the person at my doc office is being a bit snippy about turning it in for approval because she thinks the people I talked to at my insurance are wrong. I am trying to get them to submit but agh. (they also still have to request my ekg results since hospital was not theirs and get the online bariatric psych eval place to actually send my approval results). A bit frustrated.

Just in case I started the 6 month nutrition visits through my doc back on the 6th

[Apple203 1,314]

15 minutes ago, codequery said:

Just in case I started the 6 month nutrition visits through my doc back on the 6th

It is a frustrating process. From what I have experienced, you need the full 180 days of care with your surgeon's office. I know you are frustrated because you weigh in with your PCP regularly and probably discuss weight loss at every visit, too, but the rules are pretty tight. Anther thing I've witnessed recently is that the monthly dietitian classes are PACKED, which I suppose means that word of mouth is growing enrollment, which means insurance companies and bariatric centers will get more attentive to pre-reqs.

[Apple203 1,314]

I want to add: schedule an appointment with your surgeon's office manager to go over your paperwork--these people run the world :-)

[Codedsub 7]

My surgeons office doesn't require a minimum amount of days with them, this is an insurance requirement and the lady who submits to insurance is the one that doesn't want to submit. I am currently doing my 6 month requirement through my pcp.