BCBSIL....need I say more?

its_my_time
on 12/4/07 6:23 am - IL
To make a long story short.......I am approved. I am waiting on my approval to be faxed to the doc's office! Then I will be on my way to setting a date! Its been one looooong ride but God has the fianl say! For those of you fighting...please dont give up. Thats what they want you to do! Be encouraged! -Tamika

Ms. Mika is FINALLY A LOSER!


"
Beloved, I wish above all things that thou mayest prosper and be in health, even as thy soul prospereth." 
John 1:2

DSBOO
on 12/4/07 7:47 am
I am sooo happy for you! TRULY AN INSPIRATION! Why were you denied originally? i am denied for not having 5 yr history.
its_my_time
on 12/4/07 8:44 am - IL
Not having doc of 6 month sup diet. I did but i guess they didnt like what I submitted. My PCP and I submitted better doc.  Dont give up! U only get 1 appeal right? I think that is you I am thinking of. How has everything been going? Do you have anyone helping you to fight? -Tamika

Ms. Mika is FINALLY A LOSER!


"
Beloved, I wish above all things that thou mayest prosper and be in health, even as thy soul prospereth." 
John 1:2

DSBOO
on 12/4/07 9:21 am
That's GREAT! yes i only get one appeal. i'm still confused by that. my ins coordinator said that it's not true but bcbs said 1 appeal. i didn't get an attorney becuase she said that i should wait until i'm denied after the appeal. i was told that the appeal is done by an "independent doctor".
candyk
on 2/16/09 12:34 pm
Hi,

It sounds like I'm now undergoing what you did -- my first denial for not having my five year weight history and 6 month supervised weight loss program which is categorically not true.  My surgeon's coordinator sent all that in and I'm pretty upset. 

Up to now I've left all the insurance matter to Dr. Nagle's, the surgeon at Northwestern, office but I'm wondering if and how I can get in touch with BCBSIL to facilitate this process.  The application is being reviewed by an independent doctor now -- is that the same thing as an appeal?
candyk
on 2/16/09 12:35 pm
Hi,

It sounds like I'm now undergoing what you did -- my first denial for not having my five year weight history and 6 month supervised weight loss program which is categorically not true.  My surgeon's coordinator sent all that in and I'm pretty upset. 

Up to now I've left all the insurance matter to Dr. Nagle's, the surgeon at Northwestern, office but I'm wondering if and how I can get in touch with BCBSIL to facilitate this process.  The application is being reviewed by an independent doctor now -- is that the same thing as an appeal?

Thanks,
Candy
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