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Bariatric team approval?

Danielleh

By Danielleh, in Insurance & Financing

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Danielleh    48

Danielleh
Posted

I completed all my requirements on 11/4. The patient coordinator said that she will upload it all to my chart for the team to approve it to be sent to my insurance.

How long did it take your team to approve your chart to be sent to your insurance? The representative for my surgeons office said a few weeks. -_-

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lvidacovich    372

lvidacovich
Posted

Highly dependent on your specific insurance. Mine took less than a week.

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SorryNameTaken    85

SorryNameTaken
Posted

We have so many visits with my clinic that as long as you had done your requirements, your chart is ready to send on your final visit. So mine was completed that day.

It was completed on a Friday, she sent it into insurance the next Monday, and insurance came back with an approval on Tuesday.

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Danielleh    48

Danielleh
Posted

Highly dependent on your specific insurance. Mine took less than a week.
I have Staywell Medicaid. Hopefully mine doesn't take forever. [emoji24]

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Danielleh    48

Danielleh
Posted

We have so many visits with my clinic that as long as you had done your requirements, your chart is ready to send on your final visit. So mine was completed that day.

It was completed on a Friday, she sent it into insurance the next Monday, and insurance came back with an approval on Tuesday.
They had me complete almost everything with my PCP. The only thing they couldn't allow me to do with her, was my psych eval, barium swallow and 2 nutrition classes. Something about those have to be done through the center because of the center of excellence or something like that lol.

My patient coordinator did say when it was completed, she will email me on the portal or call me. So fingers crossed I'll get a call sometime next week because I am ready!

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lvidacovich    372

lvidacovich
Posted

1 minute ago, Danielleh said:

I have Staywell Medicaid. Hopefully mine doesn't take forever.

Sent from my SM-A205U using BariatricPal mobile app

Medicaid can be tough, might be why they told you so long. Keep on them and call them as much as you want until they decide!

Mine was a state specific BCBS and it went pretty smoothly but they just got the $130k bill from the hospital and doctor so we'll see how they react to that lol. I met my out of pocket for the year so it should cost me nothing.

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SorryNameTaken    85

SorryNameTaken
Posted

2 hours ago, Danielleh said:

They had me complete almost everything with my PCP. The only thing they couldn't allow me to do with her, was my psych eval, barium swallow and 2 nutrition classes. Something about those have to be done through the center because of the center of excellence or something like that lol.

My patient coordinator did say when it was completed, she will email me on the portal or call me. So fingers crossed I'll get a call sometime next week because I am ready!

Sent from my SM-A205U using BariatricPal mobile app

I'm sending out lots of good thoughts you get the call soon!

I think mine was so quick because my insurance was changing and no longer allowing bariatric surgery, so it was a race against the clock to get me on the surgery table before the change happened! I suspect my patient coordinator had something to do with it going so fast out of desperation, she said it usually takes one to two weeks, so I'm crossing my fingers for you that it's quick!

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november11    970

november11
Posted

On ‎11‎/‎8‎/‎2019 at 1:52 PM, Danielleh said:

They had me complete almost everything with my PCP. The only thing they couldn't allow me to do with her, was my psych eval, barium swallow and 2 nutrition classes. Something about those have to be done through the center because of the center of excellence or something like that lol.

My patient coordinator did say when it was completed, she will email me on the portal or call me. So fingers crossed I'll get a call sometime next week because I am ready!

Sent from my SM-A205U using BariatricPal mobile app

how did it go ? did you get your approval ?

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