@DianaCox and @Larra
Appealing denial for Revision-Seeking interpretation of policy.
Please see attached documents for in depth information regarding my case.
Summary
Surgery 1 - 11/13/2002- RNY - Dr. T. Scott
Thank you!
Appealing denial for Revision-Seeking interpretation of policy.
Please see attached documents for in depth information regarding my case.
Summary
Surgery 1 - 11/13/2002- RNY - Dr. T. Scott
- 242 down to 192 & stalled due to staple line failure
- Laparotonomy with lysis of adhesions, partial gastrectomy, reversal of previous gastric bypass RNY w/ conversion to new RNY (transected stomach from pouch)
- Lowest weight 149 (through 2009)
- Maintained 160-165 (2009-2013)
- Pre Auth-Denied
- Appeal #1 - Denied
- Preparing external review titled rebuttle
Thank you!