Face to face with 2nd Appeal Committee, need suggestions from those who've been there

Original request and first appeal has been denied on the basis that insurance does not cover out of network services, (but has no in network provider that performs procedure)and since original request and submission of first appeal has changed benefits to no coverage for obesity services. Have ADA information and NIH guidelines to present. Anything else I should present? My original request stressed all my co-morbidities and I have not been denied for medical reasons. Have filed a complaint with Dept of Ins. What can I expect from second appeal meeting?

We greatly appreciate your interest in helping us build our Q&A database. To discourage vandals from posting garbage, however, we require people to register before posting.

You must be logged in to post an answer. Click here to log in.