please help me with insurance appeal letter

princess2131
on 11/9/11 12:06 am - champaign, IL
I was denied revision for surgery lap band to vsg.... my insurance need a copy of exercise log and food log also a note from my dietitian. I am having hard time to figure out how to put this together....can someone who have a letter of appeal send me there copy or draft please and advise me what to do to win this I am also a type 2 diabetic with high blood pressure
any help will be appreciated
thanks
tntalso29
on 12/5/11 12:04 pm - Walnut Grove, CA
Have you spoken to your insurance providier?  In talking with someone on the phone, sometimes they will provide more thorough details on how to submit the details /  information if you ask them.   If not, start with your Dietician.  What records do they have and will they provide copies of that information along with a note to the Ins. company?.
When you are ready to submit...Summarize for the insurance company what you were asked to provide and what  you are  including in the documentation being submitted. (Use -bullet points and list everything.  Include copies of all of your logs.  Make sure there are dates, details, etc. Provide it in an organized fashion. 
Do you have a Primary care physician?  If so, generally most insurance companies want a letter of necessity from your doctor...that would be the where they would note your health issues (i.e. diabetic, high blood pressure, sleep apnea..back problems, etc.).  Make a copy of all that you send.  Some people say you should send your documentation by registured mail...
Follow up in a week to ensure the letter/documents were received. 
Member Services
on 12/15/11 10:54 pm - Irvine, CA
 Hi princess2131,

We are sorry to hear this.  See if this is a help to you.

http://www.obesityhelp.com/morbidobesity/information/wlsjourney/insurance+trouble.php

Take care,
Member Services

WiseTears
on 12/18/11 8:35 am - Chicago, IL
Hi princess,

Shoot me your email and I'll send you mine. Everything you stated that you needed was in my appeal letter. I was denied a second time because of the nurse coordinator didnt submit all of my materials, so I took matters into my own hands and got a 1 day turnaround.

Good luck.
    
princess2131
on 12/18/11 11:19 am - champaign, IL
hello,thank you soooooo much
here's my email [email protected]
you can also call me I send you my cell number on your private mail
thank you
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