Question:
I was denied payment on my intial Dr consult claim...

Being denied on my intial Doctors Claim Request (this was for the Doctor's visit, thats all) does this mean later when the insurance recieves my request for surgery will reply as they responded w/this claim "Your contract does not allow payment for this particular service." What does this mean as far as my approval! I am scared :( Has anyone else had this happen while waiting for approval?????    — Vicki W. (posted on March 7, 2002)

March 7, 2002
Hi--my initial consultation was denied too (BC/BS Florida) but I am told that once the approval is made--it is paid- according to your payment schedule
   — Linda L.

March 7, 2002
The same t The same thing happened to me in fact all my bills were coming back denied including hospital for 22k! Come to find out the person who processes the claims did not bother to verify that I was approved for the surgery in the first place. If your surgeons office used the diagnostic code that has anything to do woth weightloss they will deny it til your approval goes thru. You could contact the surgeons billing office and see if there is another code they could use. If your statement reads something like treatment for weightloss is not a covered service this is most likely what happened. I would hold off til you know something for sure. Once my bills were resubmitted everything was paid including my initial consult. Hope this helps...Kristen
   — kristen H.

March 7, 2002
My initial consult with the physician was not covered, but the surgery was covered no problem. No idea why it works this way, but it does. Don't worry.
   — Terissa R.

September 21, 2002
i knew in advance from my insurace rep. where i work at told she me contact yours it helps alot to know all u can in advance..good luck...cecilia
   — Cecilia P.