Help!

I have not been on in a while .I was denied by tri care For RNY and I need help with an appeal letter if any one has a sample letter that I could use as a guide It would be greatly appreciated! I am not giving up !!

Pam,   Did they say why the denied you? If not then they have to give you a reason. You are the first one I have heard of that was denied by tricare. They are usually the easiest ones. I thought that Dr. Steely handled the appeal. I have a copy of an appeal letter on my other comp. email me at [email protected] and I will send it to you.  Don't give up!!!! They will approve you !!! ~Brenda~

You best fight, and never give up.  There's a reason and they have to disclose it to you.  Kathy

I am sorry you got Denied. Do not give up. Keep fighting. Why did they deny you? They have to give a reason and it should be something you can correct and resubmit. I believe I still have a letter that I sent with my second submittal to insurance. It was more of a personal letter of why I needed the insurance and how I have complied with all of their requests. I found a draft online and changed it to meet my needs. It is less of an "appeal" letter but I will let you see it. I need your email address. Email me your email address.

Denials are not the end of the story...you just have to be aware of the situation, and then address it.  I was denied twice.  Trust me, it will be fine...it's all in how you present your case.  Personally I think that my denials made me want the surgery MORE!  I appreciate things that I really have to work for! The first thing you need to do is find out exactly why you were denied.  Then, you just handle it.  Don't get discouraged, just do what you need to do.  It sounds like you have a great attitude (sometimes that is 99% of the battle!0 Good luck, sweetie! Freddie

Hi, sorry about the denial but they usually do the first request.  I know there is an appeal letter here on OH somewhere...maybe in the insurance forum home page.  Try there if none of the others work out...that board also has lots of help for people dealing with insurance.  Good luck!