peer-to-peer review

SO I called again to my insurance company to get specifics...she said it was stated that I had NO co-morbidities - which is WRONG - the gal looking it over even said - I don't understand how he could turn you down....

so then I mention that I WILL be filing an appeal and if necessary, will retain an attorney to get it done...

she then suggests a peer-to-peer review and says Dr. B will recieve information as to whom to call and with the necessary phone number...

my question is:  Anyone ever had success with peer-to-peer review?  Opinions?  What do you know???

Thanks!

I think Flying Sarah from the main board did that. Might have been for PS, but I think I read that.

Hi Peach...I don't have any answers for you I just want to tell you I am so proud of you for keeping up the fight!! You go girl!! I will continue to keep you in my prayers!! Hugs, connie d

KEEP YOUR THUMB TO THEIR BACKS, PEACH!!!  Maybe if you can prove the "no co-morbs" thing wrong, you can have the denial overturned without all the drama??? Keeping you in my prayers and good thoughts!!! 

Nail their butts!!!  Keep going GF!!!  You can get this overturned!!! XXOO

GOOD for you!!!  Peer-to-Peer must be just for WLS as that isn't an option for me.  I am just gonna keep up the good fight!  Did you get that ladies name?  Cuz one of their members doesn't understand why you got turned down......PM me if ya wanna chat!!! Love and Hugs and STRENGTH!!!!

Ya know the best thing you can do is fight.  Many insurance companies deny on the first attempt simply because many will be discouraged and not want to pursue an appeal. It sounds like you've got a good shot on appeal.

Good luck!