Question:
Pre Deterimination Says I Meet Medical Necessity, Does this mean I'm approved?

I just spoke to a lady at BCBS and she said that my pre-determination say I meet medical necessity so does that mean I am approved? Thanks for helping me understand. God Bless, Mary    — Mary K. (posted on May 9, 2003)

May 9, 2003
I have Cigna , yours may be different , Cigna said it was a two step process .. you passed step one .. you will hear something soon .. good luck :)
   — ruthie

May 9, 2003
It looks like you are on your way to approval! Congrats
   — Gene F.

May 9, 2003
Mary, Call bcbs back and ask them if you are approved. If you are they will give you a auth number and tell you how many days they have approved you to stay in the hospital. I have blue cross and once I was approved thats what they gave me. Good Luck. They were great to work with and I would say if they told you that you meet the guidelines then you are on your way!!
   — Kim R.

May 10, 2003
Check with your surgeon's office if they submitted the request for approval. MIne had the answer soon after submitting the request for me. But it certainly sounds positive!
   — Kathe G.