I'll be submitting next month need help w/paperwork please!

DSBOO
on 8/18/07 4:36 am
Hi guys. I have some quick questions. I go to my pcp on Thursday. I'll make this qucik.
I have a form form a fellow OH member that she used to keep track of 6 month diet.I want to know since i didn't have the form before how should i go about geting the info on the form? When i go on thursday shoul I ask for a copy of my file and take it home and transfer the doc notes onto the form? will they give me a copy on the file?I want to have it anyway in case ins. needs something. Also should i have kept a food diary? My diet was pretty cut and dry. minimize carbs and snacking and taking phentermine.I have BCBS of IL. any help to the ?'s is appreciated.Also should I write a leter w/my initial submission?
ChristineB
on 8/18/07 5:07 am - Western 'Burbs Chgo, IL
Is this a form that BCBS gave you to fill out or something that you thought might be beneficial info for you to hand into the insurance? What is the information that needs to be put onto the form? Most doctors will write a letter of medical necessity that will encompass what the contents of your chart says. Look back over your instructions that you were given for your 6 month diet and see if you even in fact need to have a food diary. Make sure all your "i's" and "t's are dotted and crossed as to the requirements the the insurance needs. BCBS is notorious for denying a person for missing a minor thing that is required. As far as your chart you can ask for a copy of it. Most doctors will request that you put it in writing.  Christine

 
Open RNY May 7
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DSBOO
on 8/18/07 8:36 am
The form is just a form that i though might be beneficial. it has a stuff on it like weight loss amount and bp, behavior modification, nutritional therapy, and stuff like that.the insurance company(bcbs/il)did not say i need a food diary i just thought an example would be beneficial.thanks for responding.
Janet Kwiek
on 8/18/07 12:31 pm - IL

For my 6 month diet I had a form to fill out each month as to my weight, how much lost or gained,what diet I was on, any meds, any contributing health issues, what exercise I did and BP. etc.  I had to have one for each of the 6 months and the supervising Dr. had to sign it.  I wasn't asked to keep a food diary.  The surgical center you are using should send any letters along with your medical records and the diet forms and possibly a psych eval.  BCBS of IL are sticklers for paperwork and will deny you for the least little thing and other people they approve on the first try. It took me 16 months to satisfy the Gods of BCBS and I have a list of co-morbidities that frighten ER docs.  Ask the insurance girl at your surgeon's office for help and I'm sure they will oblige.  Good luck and be persistent.  I'll keep you in my prayers.-Janet K

 

DaisyDog1
on 8/18/07 1:02 pm - Wilmington, IL
I had the same form filled out each month by my doc. I also have a 6 month food log as well as a exercise log.  I was told tht BCBS of IL requires that.  They have denied my for that.  They said that it was good that I did have the logs as well at the form.  However they have denied me for other stupid reasons which is why I hired a lawyer to file my appeal.  My opinion is you can never have to much paperwork when it comes to filing everything.  Good Luck hopefully you have better luck than I did.
Karen R.
on 8/19/07 1:02 am
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