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goddessofthelight
on 2/6/09 5:56 am - Klamath Falls , OR

OK my crappy insurance is trying to deny my claim, to the turn of over 20,000, for the repair of a incarcerated hernia that occured after my VSG. Their justification is that have a weight loss exclusion and related complication. My health insurance is trying to say that the incarcerated hernia is directly related to the VSG, but from my research there are a number of things which could have could have caused the incarcerated hernia.
I am appealing the decision and asking my doctor for letter of support. Please read letter and give insights.

Dear Dr XXXXXX
I am writing to request a letter of support to my insurance appeal regarding my incarcerated hernia which I had surgery for on 12/28/2008. I had a Vertical Sleeve Gastrectomy prior to the incarcerated hernia. I have a weight loss exclusion and related complication. My health insurance, XXXXXXX,

is trying to say that the incarcerated hernia is directly related to the VSG, but from my research there are a number of things which could have could have caused the incarcerated hernia. As an example, I can tell you I am chronically constipated and I do strain a great deal to have a bowel movement.

I would like to request a letter from you to support appeal with an explanation that there are several factors which may have caused my incarcerated hernia and that it can not be directly linked as a cause and effect kind of thing to my VSG.

Thank you for you assistance in this matter.

(deactivated member)
on 2/7/09 11:23 am

I would recommend you write the letter for your doctor and ask them to sign it if they agree.

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