Letter from the insurance and I need some clarification

Hey guys and gals, I just got a letter today from my insurance company (Cigna) and it says the following: "If you authorize this party to represent you(My surgeons office) in making this appeak, you do not need to respond. However, if you authorize this party to appeal for you, you will not have another opportunity to appeal the coverage decision following the completion of the appeal process and any external review opportunities available to you. If you notify us that you revoke the authorization before the appeal process is completed, you can pursue any remianing appeal rights" WTF does that mean? Does that mean that if I let my surgeons office submit the appeal this is the last appeal that i can file? SO if they deny me this time I can't appeal it again and I also can't retain legal counsel? And it also asked that I have thr right to submit my appeal through the Department of Insurance Independent Meical Review System.. should I do that and does anyone know how I do that? HELP!!! I don't know what to do.... And if I call the insurance company they'll just lie to me. Love ya Jessyca

wtf., cigna is screwy,,,,this is the first i have heard this,post it to the squeaky wheels,,, see if anyone there has...and surgeons offices do not get involved with appeals...sounds fishy to me....and another cignas plans to help you go away

First try calling your surgeons office and talk with their insurance specialist they know more about this stuff then anyone...maybe she can look through ther bull---t...you know the more you pay for insurance the more the run around...good luck...linda