How Many Times?

[EllieV 16]

How many times did you guys and girls have to appeal an insurance denial before it went through (if it went through?)
I have Harvard Pilgrim, and they have determined that my revision is not medically necessary despite reflux that wakes me up every night with imaging and an upper endo to prove this.
I plan to call my surgeon's office and find the best way to appeal it, but I was just curious if anyone had successfully appealed before - particularly with Harvard Pilgrim.

Thanks!

[SummerTimeGirl 582]

I was approved right away the first time we (myself/surgeon) applied with mine.

[EllieV 16]

1 hour ago, SummerTimeGirl said:

I was approved right away the first time we (myself/surgeon) applied with mine.

The first time you appealed it? Or the first time you submitted it?
I'm wondering about people's experiences with appeals.

[SummerTimeGirl 582]

13 minutes ago, EllieV said:

The first time you appealed it? Or the first time you submitted it?
I'm wondering about people's experiences with appeals.

Was approved the first and ONLY time we submitted to the insurance co.

Edited August 3, 2021 by SummerTimeGirl

[EllieV 16]

26 minutes ago, SummerTimeGirl said:

Was approved the first and ONLY time we submitted to the insurance co.

Oh, ok. My question was for people who got denials - I was wondering how the appeal process went.

[SummerTimeGirl 582]

Oh sorry. I thought you were asking in general of everyone.