Question:
How many times can you seek approval through your carrier for the same procedure

after your have completed your appeals. Do you have to go an see your surgeon again or what?    — CINDY D. (posted on July 18, 2003)

July 18, 2003
Nope... you don't have to see your surgeon again... just be sure to send your surgeon's letter in with your seeking approal letter every time you send it in... and as for how many times you can seek approval fo rth esame procedure... as many times as you want to send it in! :~) They have to consider it as a new case each time! :~) Good luck!
   — Sharon m. B.

July 18, 2003
Sharon, I've sent mine in three times all three denied seeking a lawyer now anything you could suggest for me to tell him that would help desperately speaking
   — betty B.

July 18, 2003
As many times as you can get your surgeon to send it in. Pay attention to your denial reasons, ask for them in writing and cover every little thing you can think of in your appeal. If your toe hurts due to your weight, have your doctor document it. I cannot tell you how much documentation is required. I have been denied 3 times, and gone to final appeal 3 times, all 3 times, I have won. (my RNY, my daughter's RNY, and my TT)Enlist the help of your surgeon, he can write a scathing letter berating them on their knowledge. It helps if you have to sue.
   — sandieguy