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Need help with denial



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I could just cry! I rec'd word today that our insurance does not cover ANY bariatric surgeries. :) I talked to the head of our personel dept and she stated that we are a fully funded group (union and negotiated terms of insurance) If we were an idividually funded group, there would be a possibility of exceptions to the denial. Has anyone ever dealt with a full funded insurance plan before and how did you get them to approve your banding? I have BC/BS -Anthem (Wisconsin) We have new insurace since AUgust and our old insurance covered the surgery 100% but now they won't cover a dime!! Any suggestions??:glare:

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