DENIED IN LESS THAN 6 HRS!

Hello Everyone,

I just got a call from a really nice Rep at BCBSIL, in less than 6 hrs of submitting.

She just told me that I was denied based upon DS being experimental. I also had her fax me a copy of the letter....so its true I was denied!

I called the surgeons office and the insurance coordinator was very shock that it was review soooo fast, and denied. She will be out of the office on Monday, but will have the Dr. submit a letter of appeal.

I think I should start up a letter tooo. Does anyone have a really GREAT letter I can use with my appeal? Please let me know.

I am now frustrated....I know BC will cover the RNY, but thats not the procedure I want or the surgeon suggested.

Please send me any appeal letters that you have used, that got you approved that you don't mind me using bits and pieces.

Sincerely,

 

no advice really....but that is crappy.  insurance sucks!  what's the point of having it if they don't want to pay for things that need to be done.  I'll pray everything works out for you!

insurance companies are in business to make money!! to collect premiums and pay out as little as possible... so sorry Datrace...

Datrace go over to the DS board and look up Diana Cox she is a good resource to help people that are having problems getting the DS approved.  

I wish you the best with your appeal    (((HUG)))  hang in there!!!