Appeals -- Attorney help may be needed
On November 11, 2010 at 6:54 AM Pacific Time, Jayne wrote:
I'm amid the appeal process for a revision (specificall Band Over ByPass).......can anyone recommend an attorney who can help with this sort appeal? We're in the Pocono's of PA... surgeon in NJ.Why are they denying you? What is their written reason?
Previously Midwesterngirl
The band got me to goal, the sleeve will keep me there.
See my blog for newbies: http://wasabubblebutt.blogspot.com/
The band got me to goal, the sleeve will keep me there.
See my blog for newbies: http://wasabubblebutt.blogspot.com/
Written reason is odd...... first they comment that band over bypass is experimental (not a proven procedure).... then they specifically state that my BMI is too low 37.5 ... however they go on to stte that they will also consider 35 with co morbidities, they also stated the application for approval did not contain 5 years of weight history.... Well, it contained almost 8 years!
I am still diabetic (on two types of injections and oral meds) still cholestrerol problems (back on simistatin) and still HBP (back on lisopril)....\
That said, the surgeon's office immediately prepared a cover letter stating all of the above.
SoI'm gathering info about attorneys just in case.
I am still diabetic (on two types of injections and oral meds) still cholestrerol problems (back on simistatin) and still HBP (back on lisopril)....\
That said, the surgeon's office immediately prepared a cover letter stating all of the above.
SoI'm gathering info about attorneys just in case.
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