My plan is a bust!

Hi newbie here,

I was in the process of  trying to get an a approval for an RNY revision but wanted the DS? I was going to wait to get approved then switch surgeons and procedures. Well, the surgeon I was working with did not submit enough clinical info, nor did he code my claim correctly and they denied me. Got the lovely letter yesterday.

So, I dont' know if I should attempt to appeal or start all over with the new surgeon who does the DS (Dr. Schlesinger)?

Oh, and if I didn't mention it before, I am on borrowed time. I currently have BCBS but beginning next year we are switching to Aetna. What to do? what to do?

Any and all advice is solicited (lol). TIA

Have you been in contact with Dr. Schlesinger? If not, I would do so ASAP. Most offices have an insurance coordinator--I would speak with his. I know the DS surgeon I am going to see has about a 3-month wait for a surgery date (friend was approved by insurance in mid-August and has to wait for a November surgery date), which i why I think you need to get things rolling with his ASAP!

Hi, and thanks for responding,

Yes, I have been in touch with his office several times. I actually have a phone consultation next  Tuesday with him. I sent all of the information they requested and I have already discussed with them what my original plan was and how it  has now back fired. So, hopefully the next step is to discuss the insurance info with him. I just wasn't sure if I should try to appeal. Or just wait...I'm not actually a patient person and like to be proactive to the best of my ability.