Really? This is the kind of thing that worries me. They should know what they are doing and submit the proper documents the first time. I have an appt. today and have asked to speak to the insurance coordinator. I want to make sure everyone has their ducks in a row. I was also told that I had to do a 6 month physician monitored weight loss program for Cigna to approve the surgery, but 4 months in, after some research and calling Cigna to confirm, they apparently only require a 3 month program as of May 2012. I plan to speak with them about this as well today.