how does it work?

I have PacificCare HMO - and Seaview IPA - from what i understand, Seaview is the one that approves/disapproves everything - PacificCare just pays the bills.     They first denied me saying Pacificcare required the 6 month diet.   I had already seen the surgeon, done testing etc. under a different IPA.  My dr. office got my old records and re-submitted with all my previous info and was approved for the consult. So,  am i going to do all the testing etc again only to have someone say i need to do the 6 month thing??  If they approve for the consult and all the testing do you usually get approved right away for the surgery?? Thanks all! 

I have Pacificare HMO.  I had a preapproval to get all the testing, see the surgeon, psych. eval...  after being denied 12 months ago saying a needed a 12 month medically supervised diet.  Well I have done everything they asked of me and I am waiting to hear the outcome.  I am scheduled for surgery for 7-30-07 and my dr. and ins. said I should have an absolute ans. by this Tues. the latest.  PRAYING ALL DAY EVERYDAY!

I am keeping my fingers crossed for you!  I go for my consult on Tues. So, you have the surgery date and the insurance then approves?  I wonder if they ever deny at that point??  I sure hope not!