Preferred One Denial-Minnesota

LucilleBB
on 10/6/08 11:53 am - St. Cloud, MN
I was just denied coverage for RNY because I lacked a complete record of 6 months diet regiment. I do have a journal of 6 months of "eating" and have been working with my doctor on and off for the 6 months. Nothing was charted as such. Any good words for me?

Vicki Browning
on 10/7/08 12:24 pm - IN
Lucille you will need to either have it charted or you will now have to start a 6 month supervised diet program with your PCP  Which I had better news however you can possibly go to www.obesitylaw.com here is what they say on their website about this situation if you want to take that route and not do the 6 month diet  Good luck with whatever you decide

  MY INSURANCE COMPANY DENIED ME BASED ON A LACK OF DOCUMENTATION OF  
      WEIGHT LOSS EFFORTS AND I DON'T HAVE ALOT OF THAT INFORMATION....CAN YOU  
      HELP ME?  
       This is one of the areas we spend a great deal of time and have had very good success. While it is very, very important for patients to go back to their various medical providers to get whatever historical records are available, the fact is many people don't have or cannot locate such records. That should not stop anyone from seeking surgery. First, you can always postpone the surgery until you comply with your company's requirements, whether they are 6 months, 12 months, 18 months or more. However, we also understand that many of you have "been there, done that" and don't want to wait anymore. We work successfully on a great many of those cases despite a client not having a great deal of documentation and we would urge you to give us a chance if this is the basis for denial you confront
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