Denied by HMO Blue New England

ClareB
on 4/18/08 3:51 am - MA
Ok So I knew that the VSG was not a covered procedure.  They now call it investigational.  Original submission was for this procedure and it was sent in with my letter, my surgeons letter and with a PCP letter.  We also submitted many documents/studies on the sleeve and still denied.  So now we go to peer to peer review.  My surgeon is not in until April 29th as he is at a convention...ughhhh...so I now have to wait. Does anyone have any stories of success with peer to peer review??  Thanks
(deactivated member)
on 4/18/08 5:22 am
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