Insurance denied. :-( On to Peer to Peer review. Anyone done this?

GoDawgs1979
on 6/18/15 11:07 am

I believe the peer to peer review is happening today. I'm so nervous. Did anyone here have luck reversing an insurance denial??

Pokemom
on 6/18/15 2:26 pm

RNY on 12/29/14

This did not happen to me. But I remember seeing at least one case on the OH boards in the past few months, where it was originally denied, then approved based on the peer review process. Good luck!

cspotrun
on 6/18/15 5:40 pm

RNY on 07/01/14

any word?

Karen

Mary Gee
on 6/18/15 8:35 pm - AZ

VSG on 05/14/14

I've seen several posts regarding denials being overturned. What was the reason for the denial??

HW: 380 SW: 324 GW: 175

iloveravens
on 6/19/15 6:05 am

RNY on 08/13/14

Have you heard back? I've been thinking of you and wondering what was up...

Lanie; Age: 43; Surgery Date (VSG): 8/12/14 w/complications resulting in RNY next day;

Height: 5' 6" SW: 249 Comfort Zone: 135-140 CW: 138 (10/13/17)

M1: -25 lbs M2: -12 M3: -13 M4: -7 M5: -11 M6: -10 M7: -7 M8: -7 M9: -3 M10: -8 M11: -4 M12: -4

5K PR - 24:15 (4/23/16) First 10K - 53:30 (10/18/15)

GoDawgs1979
on 6/19/15 11:16 am

Yep! APPROVED!!!!! I'm soooo happy.

Do you ever go to Dr. Williams' support groups? I don't even have the information on them, but thought about going now that this is a sure thing.

Chilipepper
on 6/19/15 6:13 am

It happens A LOT! It usually works though. Keep the faith. Your surgeon speaks to a doctor with the insurance company.

"The first thing I do in the morning is brush my teeth and sharpen my tongue." --- Dorothy Parker

"You may not like what I say or how I say it, but it may be just exactly what you need to hear." ---Kathryn White

Han Shot First
on 6/19/15 6:33 am - Flint, MI

RNY on 10/06/14

Hopefully you have good news on this.

150 lost and maintaining!

GoDawgs1979
on 6/19/15 10:06 am

The Peer to Peer didn't happen until today, BUT I'M APPROVED!!!!!! I can't believe it, and I'm so excited to get this weight off!!!!

I'm tired, my knees hurt, I hate the way I look in clothes. Surgery is August 28th, and I can't wait to actually feel healthy and good about my body!

Jennifer K.
on 6/19/15 10:20 am - Phoenix , AZ

RNY on 06/20/06

Congrats. I was also approved on a peer to peer review back in the day!

First visit to surgeon - 288 ~ bmi 45.1
2 week pre-op 252 ~ bmi 39.5
Total lost - 153 Since surgery - 117!
Goal weight - 155 (mine) 180 (surgeons)
Current weight - 135 (2020 I lost 10lbs due to dedicating myself to working out more and being in better shape)

Extended TT, lipo, fat injections - 11/2011

BA/BL/Arm Lift - 7/2014

Scar revision on arms - 3/2015

HALO laser on arms/neck 9/2016

Thigh lift 10/2020