Jump to content
×
Are you looking for the BariatricPal Store? Go now!

letter from Aetna



Recommended Posts

My documentation was submitted by True Results last week. Today, Sat., I got a letter from Aetna telling me they need documentation of my three month supervised diet. How could that have not been sent? That was the whole purpose of my going to the center for three months, so that the three month documentation would exist. Why would it have not been sent? So, because it is Sat., I get to live with this until 8am on Monday. Who should I call first, Aetna or True Results??

Share this post


Link to post
Share on other sites

I already left the girl who is handling my case at True Results a message, and I will be calling first thing Monday. I am so mad. I trusted that they would get this process right since they have done it a million times.

I am also going to call Aetna and let them know that I gave everything they are asking for to True Results who told me last Monday that everything would be sent to Aetna. I can't believe I have to wait til MOnday, I am shaking I am so upset.

Share this post


Link to post
Share on other sites

I talked to Aetna this morning and they said that they did not receive my documentation, just like the letter stated. So I called the center and talked to the insurance girl submitting my stuff, and she said she faxed all 43 pages last week. So I called Aetna back and they said to have it faxed again. I called my center and had them fax it again. About 30 minutes again my surgery center phoned to tell me that they received confirmation from Aetna that it was received. I am also going to call Aetna after lunch and verify that they now have it. Aetna and my surgery center were both very cooperative once I was able to get human beings to talk to. Hopefully, when I call this afternoon they will confirm receipt of documentation and this moves forward. Now I just have to hope I don't get denied.

Share this post


Link to post
Share on other sites

You know its possible that both sides are telling the truth. Maybe it was all faxed to the wrong number to begin with?

Share this post


Link to post
Share on other sites

I thought of that the other day and double checked the number it should have went to and checked to see what number it WAS faxed to. The numbers matched. Aetna apologized and said they don't know why this kind of thing happens, but it does sometimes. At any rate, just waiting for an answer now.

Share this post


Link to post
Share on other sites

I always think of it this way...

Working in a office, some people love to grab everything out of the fax machine if they get a fax and read top paper and probally couple below and then throw the rest on the desk and wait later to go through them.

Share this post


Link to post
Share on other sites

Create an account or sign in to comment

You need to be a member in order to leave a comment

Create an account

Sign up for a new account in our community. It's easy!

Register a new account

Sign in

Already have an account? Sign in here.

Sign In Now

  • Trending Products

  • Trending Topics

  • Recent Status Updates

    • buildabetteranna

      I have my final approval from my insurance, only thing holding up things is one last x-ray needed, which I have scheduled for the fourth of next month, which is my birthday.

      · 0 replies
      1. This update has no replies.
    • BetterLeah

      Woohoo! I have 7 more days till surgery, So far I am already down a total of 20lbs since I started this journey. 
      · 1 reply
      1. NeonRaven8919

        Well done! I'm 9 days away from surgery! Keep us updated!

    • Ladiva04

      Hello,
      I had my surgery on the 25th of June of this year. Starting off at 117 kilos.😒
      · 1 reply
      1. NeonRaven8919

        Congrats on the surgery!

    • Sandra Austin Tx

      I’m 6 days post op as of today. I had the gastric bypass 
      · 0 replies
      1. This update has no replies.
    • RacMag  »  bhogue925

      Hi, I’m new here. I’m currently on the liver shrinking diet. So far so good, but I have to say I haven’t found a protein shake I like. Anyone have any suggestions please? My surgery date is September 17th. 
      · 2 replies
      1. BlondePatriotInCDA

        Fairlife Core are by far the best. They taste just as they are - chocolate milk. You can either get the 26 grams or the 42 grams (harder to find and more expensive). For straight protein look at Bulksuppliments.com ..they have really good whey proteins and offer auto ship plus they test for purity. No taste or smell...

      2. BlondePatriotInCDA

        Fairlife has strawberry, vanilla and of course chocolate. No more calories than other protein drinks. Stay away from Premiere, they're dealing with lawsuits due to not being honest about protein content.

  • Recent Topics

  • Hot Products

  • Sign Up For
    Our Newsletter

    Follow us for the latest news
    and special product offers!
  • Together, we have lost...
      lbs

    PatchAid Vitamin Patches

    ×