Denied Authorization... Start Appeal

Well, I got my letter yesterday that BC/BS denied my surgery. I was approved fro banding in 2004 and had to have it removed in 2005. I am at the same weight and co-morbitiy status that I was in 2004. I don't understand why I was denied this time. Wrote my appeal letter and faxed it today. Does anyone have any personal experience with the appeal process? Is it usually sucessful in the long run? Thanks for any info, Melissa

Did they state why you are denied?

I am sorry to hear this. I was informed by my doctor's office that my information was sent to the insurance company. I guess this is a waiting game now. I am curious to know why they denied you also Perhaps because you had it before and it was removed? Did you have them also for youlast procedure? Good luck and glad to now your not giving up!!

I got great news this morning!! My claim was approved after they read my appeal letter! I'm scheduled to be rebanded on 9/19! Thank for writing, Melissa

Congrat's! You must be so happy. I am now waiting to hear back from my insurance company on my appeal, this after being denied twice. What do you think helped in getting approved? Any info would be great. Thanks Dee

My letter was just very honest & I explained that I can't breathe when I exert myself, knee & back pain and especially that my work (i'm a police officer) was being compromised because of the health problems related to my weight. I am so happy that they reconsidered. Good luck with your appeal, Melissa