ebonie1015

Hi Southern Missy- I just joined this site yesterday and noticed your question. I may be of some help with this. Hopefully, everything has already gone smoothly and you are on your way to approval:smile2:. When I first started my journey to have WLS, I had (and still do) BCBS of AL. When I found out that we could use WW as our six-month diet, I was overjoyed because I had been doing WW for 7 months prior to me starting the process. My PCP knew I was attending WW but he is an old school doctor who doesn't document everything but I had ALL of my WW documentation (booklet, cancelled checks, etc). I submitted all of this information to BCBS and they denied me because my PCP did not see me three times during the six months that I was on WW and it was not documented in my chart. You must have three documented physician visits indicating you are on WW, what exercise you are doing, weight loss/gain. It has to be in your chart. So even with all of my proof of WW, they denied me. They are very strict about that. I even had my doctor go back and add notes to my chart but they still wouldn't cover it because I didn't see him three times in that six months. I was bummed but it was ok. Now I know exactly what they want so they will have no room to deny me this time for missing information. I have all kinds of stuff documented in my chart now so when I do submit, hopefully, everything will go smoothly.:sad: I hope this helps some with your questions about BCBS of AL. Keep me posted on how everything goes.:scared2: Ebonie