Update...
Oh Wendy!
I'm so very sorry. Did they give you the reason or are you waiting for the determination? I guess what I'm really asking is if there was something that they think you still need to do?
I can't believe that the Dr's office didn't let you know ... I believe you, just can't believe that they ....
If you need to talk, please feel free to contact me.
Barb
Barbara
ObesityHelp Coach and Support Group Leader
http://www.obesityhelp.com/group/bcumbo_group/
High-264, Current-148, Goal-145
Find out what the denial is for....most of the time it can be an easy fix and your dr's office and submit and PCR (Phycian Courtesy Review) or re-consideration and/or a peer to peer to review. This is so that you don't have use an appeal and 9.5 times out of 10 you will be approved.
Please PM me if you any questions....I work w/ insurance and would be happy to help where I can. I take denials personally even when they aren't mine. I have UHC when I went through my surgery and thank goodness didn't have any problems. But w/ insurance companies they are different from case to case.