Any advice on how to appeal by telephone conferencing with insurance carrier?

Tomorrow the 19th, CIGNA will participate with me in a teleconference--they gave me no notice; I just got out of hospital and should be in bed--giving me 20 minutes to make my case as to why I should be allowed RNY. Anyone successful at this method; what did you do and what do you suggest for me?(p) I'm 285 # (282 last week), BMI 50 with co-morbs. Last diet was finished July 2002--Atkins; my sister and I--it was not doctor sup'd.(p) You can email me: [email protected] if you have experience (yours or a friend's) to offer.(p) Thanks for your help.(p) Phyllis Moore

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