Question:
Point of service ?any one have any luck?

   — Annette C. (posted on June 26, 2003)

June 26, 2003
Not exactly sure of the question. But if you are asking about being approved for wls. I have Anthen BC/BS Blue Preferred Primary Plus(POS)of Ohio. I was approved after 1st attempt. Within 12 days. No medically supervised diet history. Although my PCP did send a letter to my surgeon addressed to whom it may concern .. stating that I had attempted many diets while under his care. But he didnt supervise any of them. I think my success came from following the advice of the surgeons office personnel in being patient and getting all the important info together before submitting anything & the support of my PCP. My submission included 5yr previous medical records. Diet history. Sleep study. Psych evaluation. And letter from my PCP stating his belief that I was a good candidate for the surgery. I contacted the surgeons office in Feb. Initial consultation with surgeon 4.21. Psych evaluation 4.13. Initial consultation with sleep Dr 4.13. Sleep study 5.18-19. Predetermination submitted to insurance 6.11. Approved 6.23. Waiting on surgeon to set surgery date. Just a little timeline. Not sure if this helped. Good luck to you. PS ... I called the insurance everyday after the predetermination was submitted. I was extremely courteous to the customer service employee with which I spoke. She was always professional & checked the status for me. When still in review she encouraged me to call back the next day and check again.
   — Sarah H.

June 26, 2003
Hi! Can you clarify your question for me?? I'd love to help but don't understand the question! LOL! :~) Hugs!
   — Sharon M. B.