I was denied-again. We sent in the medical clearance, but they said it did not provide "unqualified clearance" for the surgery. I don't have the letter so I don't know exactly what it said, but one would think the doctor would know how to write the medical clearance letter to get it approved. We now have to do the peer to peer review. My paperwork was originally submitted in May...very frustrated with Cigna, with my doctor's office and the entire process.