Some approved, some not?

I have BC/BS and I just called and asked their requirements for approval. The rep gave me a list, and after my consultation on 4/17/03 with the surgeon, I should have 4/5 items on the list. 1)History/Physical from Surgeon 2)Original Evaluation 3)Letter of Neccessity 4)Description or procedure and codes. Here's where the problem is......I do not have 5 years of documentation from a supervised weight loss program. WHAT DO I DO??? My BMI is 42, I'm 100lbs overweight, shortness of breath, joint pain, family history of diabetes, heart disease, gall-bladder problems, kidney problems,years of failed "diets", etc. Any information will help. Thanks.

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