HELP NEEDED...Rec'd response from insurance carrer

ellton
on 12/5/10 5:18 am
Hello.  I received a letter from my insurance carrier, yesterday, requesting a response from me within 72 hours from the date of the letter.  The letter is dated on 12/2 which I rec'd on 12/4. 

So, they're asking for documentation as to why my RNY failed.  I've been diagnosed with esophageal motility disorder.  I've had hiatal hernia's since 2006 (most recent last week).  A hiatal hernia repair in '08.  Acid reflux, choking, and difficulty swallowing.  Dr. K says the motility disorder is very common in those patients with ABDs more so than RNY...am I the first RNY patient with this disorder...I can't be.

They're also asking for results of diagnostic studies and office notes.  I have this showing a clear pattern of GERD and esophageal motility disorder.  

I'm attempting to identify a study that shows failed RNYs with GERD or esophageal motility disorder.

Any help anyone can provide will be sooo appreciated!

Thank you folks!

Tonya

            

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