Denied -- how should I proceed

[kplant 0]

I was denied and the letter doesn't really specify why. My dr office will do a peer to peer this afternoon (so my dr or nurse speaking to the dr that denied it). Should I wait and let them do that or call the insurance myself and find out what exactly the issue is?

[brownskin82 0]

Sorry about that...I would call the dr. myself

[SuzanneG 1]

If you don't get good news by tomorrow, plan your appeal. Call your insurance company find out exactly what the problem is and appeal. I filed an appeal that included 2 letters from me, 1 medical and 1 emotional impact of my weight, plus I asked each of my doctors for letters of support, my GYN, GP, gastrointerologist, podiatrist, and of course the bariatric surgeon. The appeal was approved.

If you would like sample letters, I'd be happy to send you mine, just PM me your email address.

Good luck to you!

[kplant 0]

Suzanne, that would be helpful. I spoke with the surgical coordinator and she is so confusing but this is a huge office that handles a ton of bariatric surgeries. I am just guessing that she knows what she is doing but doesn't really deal much with the patients. I am guessing. My email is karameal AT yahoo.com

[SuzanneG 1]

The letters are on their way to you now.

Best of luck to you!