Question:
I'm looking for a good panni letter of appeal
I'm approximately 14 months out and have lost 120 lbs., now looking to appeal my 1st denial for panni, any help in this area would be appreciated. Thank you. — wschuman (posted on July 1, 2003)
July 1, 2003
I am still pre-op but one of my co-workers got an approval after their
first denial letter by submitting pictures of the rashes she was getting
under the panni area from the fold of skin rubbing so bad. After the
insurance co. got the pictures they approved her within 2 hours. If you
haven't already sent them some pics you may want to. My co-worker had her
husband take pictures as well as her primary doctor. Of course I would
recommend a digital camera so you can print the pictures yourself (God
knows who would look at them or wonder what you were doing if you had them
developed at Wal-Mart). This is just a thought but I hope it helps.
— tntwildlife77
July 2, 2003
I was denied too at first by BC/BS Health Options. However I appealed their
denial and was approved! My surgery is scheduled for July 8th. I will
email you personally with the appeal letter. Also, the date your appeal is
to be reviewed by insurance company, you and or your doctor can asked to be
conferenced in via telephone. Good Luck!
— Jeanette D.
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