DENIED!

Alli14ppfk
on 3/24/10 9:54 am - Buffalo, NY
So my PS submited paperwork for a panni/TT to my insurance company and it was denied......surprise, surprise. I am definately going to file an appeal. Any advice?
Open RNY Gastric Bypass February 16, 2009
Fleur di lis abdominoplasty June 5, 2010
Mastoplexy Scheduled for February 28, 2011

SW 296/Surgeon's Goal 196/My Goal 175    

  
jaylynn
on 3/24/10 12:11 pm
I was denied and the form indicated why I was denied.  In my case I wasn't 18 months post WLS.  When I was we reapplied and I was approved.  This is to say...if you know why you were denied....it goes along ways in filing an appeal.  Every company has different policies.  GOOD LUCK getting your approval.  I will have my surgery in April. 


  

 

 

   
Redhaired
on 3/24/10 2:00 pm - Mouseville, FL
Just be sure to address the stated reason for the denial.  When you have that let us know and maybe some of the insurance wizards will be able to give you some guidence.

Red

  

 

 

Alli14ppfk
on 3/25/10 3:41 am - Buffalo, NY
It says I was denied because it is "cosmetic." I am calling today to find out what I do to file an appeal
Open RNY Gastric Bypass February 16, 2009
Fleur di lis abdominoplasty June 5, 2010
Mastoplexy Scheduled for February 28, 2011

SW 296/Surgeon's Goal 196/My Goal 175    

  
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