Has any one with Federal BCBS been turned down after surgery?
I am 2 months post-op. My surgery was performed on 11/16/2006. I received a "Medically Necessary" Approval Letter on 10/6/2006. Last week I received a copy of a letter that was sent my doctor. It stated that that the surgery claim will not be paid until my doctor sends documentation that the WLS was medically necessary.I thought the only way an insurance company can approve someone is if that information is submitted (which my doctor's office did submit). What am I to do? My surgery was a total of $34,000. I don't have that kind of money! I would not have had the surgery if BCBS didn't approve it! I'm a basket case right now!
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