C.Caldwell
Member
- Joined
- Sep 2, 2022
- Messages
- 13
Hello my name is Chastiny, Thanks for letting me join!!
I moved her insurance question to the proper forum. That way I could get Diana and Larra involvedHi and welcome Chastiny! I see you posted an insurance question on a different thread. What procedure did you have previously and how would you like it to be revised?
Hello, I had Gastric Sleeve 9/2017 and I lost 31 lbs. My desire is revision to DS. I've been working with my nutritionists since 12 /2021 and have lost 39 lbs. My surgery was scheduled for 9/26/2022, however my Insurance (United Healthcare) denied my prior authorization. Per Rep, revision is only approved for technical failures such as bowel perforation, leaks,obstruction or staple-line failure.Hi and welcome Chastiny! I see you posted an insurance question on a different thread. What procedure did you have previously and how would you like it to be revised?
What is your current BMI?Hello, I had Gastric Sleeve 9/2017 and I lost 31 lbs. My desire is revision to DS. I've been working with my nutritionists since 12 /2021 and have lost 39 lbs. My surgery was scheduled for 9/26/2022, however my Insurance (United Healthcare) denied my prior authorization. Per Rep, revision is only approved for technical failures such as bowel perforation, leaks,obstruction or staple-line failure.
None of the above apply to me, however I have diabetes (Take insulin daily), high blood pressure and high cholesterol levels. My Dr stated I could Appeal, however the surgery scheduler is managing 3 sites and can review my Appeal as quick as possible. So here I am, as confused however still determined to win this fight.
Any help?
Yes, you did.Did I enter my reply correct?
Ok sure will,What is your current BMI?
Yes, you did.
Now get a copy of your Explanation of Benefits from your HR department. It’s a sure document about 80-100 plus pages. You need to know exactly what YOUR policy says.
Hi and welcome Chastiny! I see you posted an insurance question on a different thread. What procedure did you have previously and how would you like it to be revised?
I previously has Gastric Sleeve and appealing revision to DS. How do I ask for help with the appeal? Insurance denied revision due to no technical issues and denied peer to peerOk sure will,
Hi and welcome Chastiny! I see you posted an insurance question on a different thread. What procedure did you have previously and how would you like it to be revised?
Read the pinned post at the top.I previously has Gastric Sleeve and appealing revision to DS. How do I ask for help with the appeal? Insurance denied revision due to no technical issues and denied peer to peer