Waiting for Kent..........

Anyone else waiting for Kent to post to say what Lynn and the insurance company said. I am hoping she made him feel better. Funny how I worry about you guys. I guess we are bonded. Theresa

Here I am Theresa. Lynn (as we all know) is wonderful, and she filled me with confidence that this was not a problem. She spoke with Dr. Prescott *****inforced his remarks that I was an excellent candidate. She gave me his phone number, and I await his return call to complete additional documentation which will be submitted in an appeal. I called Anthem to see what was needed. They wouldn't tell me and said the appeal had to come from the doctor's office. The Anthem representative's voice was all smiles until she looked at my file. She knew I was calling about a denial, but after looking at my file, she was impersonal and distant...no warmth whatsover and slipped into a style of language I could only describe as anitseptic. LOL Lynn had suggested that I handle the appeal. The denial said that either the doctor or I could handle an appeal, so I will call Anthem tomorow. A follow-up call to Lynn resulted in her recommendation to have Dr. Prescott send the adendum to her. I'll do that and let the appeal come from the professionals. Anthem received the psychological documentation that Dr. Prescott has sent to support everyone's request, and for other WLS candidates it has been accepted. Unless the rules have changed, I would suggest that despite Anthem's proclamation that they treat every patient the same....they have not approached my file with the same standards. I intend to proceed as Lynn has suggested, and I am keeping documentation of everything that happens. I feel confident that all will be well. This is just a bump in the road. Lynn thought this situation was unusual. Theresa...you are an angel. Ron...thanks for the phone call, cuz. You're the best, and I include you and your family in my prayers as you head for your surgery on the 27th. You're awesome. I'm so glad we are finally getting to know each other as relatives and friends. I'll keep you all posted. Kent

Thank you for the update, I have been waiting all day. Good thing I didn't have your number or I probably would have called you by now. I am glad you are feeling better about things, I knew Lynn would know just what to do. Keep us posted!! Theresa

Kent, I just wanted to wish you the best of luck. I know how hard rejections are and SOOOO frustrating that insurance will not talk to you, the patient. I have been thinking of you often today hoping that you were feeling better. Good Luck. Sam