Peer-to Peer Dr. Insurance appeal success rates?
Ask your surgeon to do a "peer to peer" call.... all he/she does is talk with the Medical Director. Mine was overturned as soon as they spoke. You will hear back from them normally within 3 working days.
PLEASE don't give up... get persistent.
If that doesn't work, then contact your PCP about the appeal process. You can go online and do a search for appeals... all the information is there... I truly believe tho that when your surgeon talks to the Medical Director things will change.
Good luck and keep us posted