Second appeal denied!!!
Just like Beth I got denied but for the second time also with BC/BS of Alabama. The first time I got the very same letter that Beth got stating no documentation of 3 years of being obese and documentation of a 6 month diet with one of the months being at least 6 months before requesting the surgery. MY PCP wrote a very detailed letter stating I have been obese for 12 years and wrote all the different diets I had been on which none worked. I called them on Thursday they said we still do not have a decision. I called yesterday and got the news Denied!! Due to no documentation ... blah, blah the same as before!!! So, today I got the letter from them why I was being denied. ( Sure was a fast letter since Thursday they knew nothing huh?) Now they state they can not accept a letter from a doctor but only my medical records. And before when they told me it could be a letter from WW or Jenny Craig now they won't even take my doctor's letter??? Is this abnormal asking for the medical records and the diet has to be in there? Or do they accept the letter from the doctor???
IF Gary reads this do I have a case or go to the doc and start a 6 month diet?
Thanks,
Karen