I got a letter in the mail saying that fepblue no longer requires prior approval for vsg in patient procedures (after the office submitted for approval!). This is not what I have heard from others! When I went back and read the handbook it doesn't exactly say you need preauthorization, only that you need to meet the BMI, Psych Eval, three month nutritional requirements to be covered. It does, however, say that for any inpatient procedure you need precertification. Isn't this just notifying them of the procedure before you go in? Has anyone else had this experience? I don't know whether to rejoice or cry (if there is something else that needs to be done)! Calling the surgeon's office first thing tomorrow!!!