DENIED

Well i got denied...........anyone have any advice what to put in appeal........ohsu told me sorry maybe your primary care doctor can call them and help you and my primary care doctor isnt interested in being on phone with insurance ........so im on my own......i know there is an appeal process but curious if i should do anything else or what i include.......thanks

Here is the link to "Appealing Insurance Denials".  It includes a sample appeal letter.

Hope this helps, and best of luck!

thanks...

I am new to the forum but I was curious as to which insurance company you have right now.  I have pacificsource and they have told me that there is absolutely no way that they will cover wls....  even if it is medically necessary...

In response to a couple of the posts and the original post. I have Pacificare and was denied as well initially.  I was reffered to ObesityLaw.com.  Kelly and Walter are wonderful.  They helped me appeal and I got approved in less than a year and after my approval had my surgery date in less than 2 months. It was worth the money. Any questions please feel free to ask.
-Pam