Question:
Can someone help with a third appeal letter

My insurance company denied me for the 2nd time. I was denied because my previous PCP would not provide the insurance company with a complete medical history of the diet attempts. The appeal nurse told me to wait until February to file a new claim. I was given 60 days to appeal the 2nd denial.    — Sebrina M. (posted on January 3, 2003)

January 3, 2003
I have been/am dealing with insurance company roadblocks and appeals too, so I can sympathize. I'm afraid I haven't dealth with the same situation as you describe, though. But, in reading your question, I had a couple of questions for YOU come to mind. First -- WHASSUP with your PCP not providing the diet history? Was there a REASON for his refusal? Or was he/his staff just being "lazy"? Second -- why don't YOU provide the diet history? If your doctor won't cooperate to help you out, just BYPASS him. I see that it says "medical history", but at least you can provide them with as many details as you can. THIRD -- I would double-check with your insurance about being told to "wait until February" and then filing a new claim. WHY? Have you visited Walter Lindstrom's website -- "Obesity Law & Advocacy Center" @ www.obesitylaw.com? There is a LOT of great information there to help you in dealing with your insurance company. When the "home page" comes up, scroll to the bottom and you'll see the various "pages" listed across the bottom of the screen. Click on "articles" and READ EVERYTHING on that page. It'll help you alot. Good luck!
   — Allison S.