denial due to non compliance

I had the lap band placed in May 2006, everything went well and I lost about 90 lbs.  I started to have pain at my port site and noticed I no longer had restriction so I went it have it checked out.  After the EGD it was discovered I have erosion.  All pre op requirements done according to fepblue, but denied due to non compliance.  So after 2 submissions to the insurance company now my surgeon has a peer to peer scheduled for tomorrow 1/2/14.  Praying everything goes well.

Anyone have this type of experience?

Sorry but how the h**l can they call it non compliance when you have erosion?  That is a medical complication if there ever is one and can be life threaten.  Are they NUTs?  That should be a no brainer.

Peer to peer denied now on to an appeal.

I don't get this!  Erosion is not something we cause! It happens! We can't prevent it and we don't make it happen.  I am not American and don't know your systems but can they refuse to treat something which is potentially life threatening? 

At this point it is crazy, the peer to peer review was a disaster there were references made to Obamacare not sure what that has to do with it when I pay premiums to the same company for 16 years that just increased this year.  I then get the denial letter yesterday that simply states the psych eval does not include post operative exercise and nutrition​.  So my insurance rep I work with at the doctor's should be able to resolve  this for me hopefully.  

Sounds like they are just being jerks giving you the run around.  I hope this takes care of the problem for you.