HELP!!! I received my first denial letter from BC/BS...need a great appeal letter

BC/BS ActiveCare denial letter indicating "gastric bypass Not Medically Necessary because there is no documentation of a medically supervised weight loss program within the past 12 months....letter from PCP that I was on phentermine for a year from 01-02...have regained 50 pounds lost and then some..now 280.....help me with an appeal letter?????????

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