Can they deny the surgery for this?

Gavin B.
on 4/10/17 12:04 pm - Orlando, FL
What does this mean? Member complied with previously prescribed post-operative nutrition and exercise program? I had my surgery 10 years ago. I don't have evidence of that. Is that an automatic denial? I have Federal BCBS.
karenyt
on 4/23/17 5:24 pm - Renton, WA

No if there is a reason you don't have and can't get records of previous compliance. I have Federal BCBS and I had my first RNY surgery over 10 years ago thru WISH center which closed down within a year or less of my surgery so I never had recovery or maintenance assistance from surgeon or any one else. I applied for revision and finally approved at 3rd appeal. Send a letter explaining your needs and why you need a revision and why the records are not available. Good luck.

Karen

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