Question:
What do I do with my denial???

I just got my denial letter today stating I was denied because I don't have proof of medically supervised diets (which isn't true). My pre approval request was sent by a out of network Dr. that I no longer want to go to. I have found Dr. Oh who is in network who last week also submitted a pre approval request for me. My question is do I appeal the denial with Dr. Oh (even though we haven't gotten an answer on his paperwork), or do I just wait and see if Dr. Oh's pre approval request is approved? It's confusing I know! Help Please!    — Sasha A. (posted on August 16, 2001)

August 16, 2001
Since you are resubmitting with another surgeon, you are essentially starting over again. But, I would check my policy manual or check with the benefits rep to make sure.
   — Diana M.

August 16, 2001
The same thing also happened to me. I was denied by Aetna because I did not have medically supervised diets (I did but Aetna did not have the records). I called the surgeon's office and spoke to the lady that handles the insurance. She sent me a medical release form to fill out so I could get the medical records from the two doctors that I went to for medically supervised diets. I got the forms filled out and sent them to the two doctors. They released the medical records to the surgeon's office and they are filing an appeal for me. Since this is the only thing the insurance company needed I am hoping that I will be approved soon. I would go ahead and file the appeal with the new doctor and send in all the medical records they need to get you approved.
   — blank first name B.