Tricare Denial..REVERSED!!

[Maggies 0]

How to I go about doing an appeal??????Maggie:tt1:

[RestlessMonkey 7]

I didn't have to do one. But you need the appeal letter. You need to find out exactly EXACTLY why you were denied (you might need to call them) and then depending on what is missing, resubmit it. Tricare will be able to tell you their appeals process. You'll have to work a little but again, it's worth it if you want the band!

[JamieNP 20]

Maggie, wait until your surgeon's office talks with Tricare. I had my appeal letter together and didn't need it. My office talked with Tricare and found out the details.

[RestlessMonkey 7]

I'm glad JWRN chimed in since she's one who appealed successfully! So....what SHE said! LOL :thumbup:

Good luck. You can get this if you want it!

[JamieNP 20]

If it comes down to it, let me know and I can send you some ideas for an appeal letter. Your denial letter should come this week also, and it will say exactly why you were denied (at least mine did). I almost gave up and I sulked for a few days. But then I figured it was worth the fight. And now I am getting banded in 3 days!

[Maggies 0]

JWRN, What number at Tricare do you call? I'm going to call them tomorrow. Good luck on your banding and let us know how it goes. Maggie:shades_smile:

[JamieNP 20]

It is 1-877-TRICARE

[KarinaM 0]

It is

Good Luck tomorrow.Congrats.:thumbup:

[Maggies 0]

JWRN, Will be thinking of you tomorrow as you enter bandland. Let us know how it goes as soon as you feel well enough. Mine would have been the day after yours if Tricare would have approved it. Again good luck.

Karina, any news on the appeal?

I called Tricare today, and they would not talk to me but said the doctor can call them. I hope he calls them tomorrow but I'm not counting on it.

Maggie:shades_smile:

[KarinaM 0]

JWRN, Will be thinking of you tomorrow as you enter bandland. Let us know how it goes as soon as you feel well enough. Mine would have been the day after yours if Tricare would have approved it. Again good luck.

Karina, any news on the appeal?

I called Tricare today, and they would not talk to me but said the doctor can call them. I hope he calls them tomorrow but I'm not counting on it.

Maggie:shades_smile:

Nothing yet Meggie. Let us know if the doctor called Tricare. :thumbup:

[Maggies 0]

Hi everybody, I didn't hear from the doctors office today sooooo.:smile2: Any help you all can give me in appealling this would be appreciated. I guess you could say I am desperate and still just running in circles. Therefore nothing is getting done.

JWRN, where are you, we are anxious to here from you......

Karina, Hope you hear something soon:thumbup:

[RestlessMonkey 7]

Maggie...keep calling TRICARE. For gosh sake YOU are the insured. MAKE them talk to you. DEMAND a supervisor! AND call the doc's office. The squeaky wheel gets the grease. You are being passive and they are ignoring you. Go get 'em!

[Maggies 0]

Hey Restless, you made me smile when I read that. You are correct, That is one of my big problems. Someone tells me no, and I take it. I will be on the phone tomorrow and make them sick of me. Thanks for the kick in the butt, I needed it. Maggie

[RestlessMonkey 7]

Go Maggie GO GO GO!

[JamieNP 20]

Well, I am home. Surgery went well. I have 6 incisions and the port site is bruised and swollen. I am hurting...gonna sleep in the lazyboy tonight. I am forcing myself to eat Popsicles and sipping on Water.< /p>

I still cant believe I am here!!