OlRachel

Charting. Typo Pretty sure the appeal will be denied because it's based off a previous coverage requirement

I was denied due to poor chatting notes from pcp. Appeal sent friday

Regence bcbs of oregon has changed its policy to 3 months within 12 months from 6 months within 24 months. Perfect for some shitty for me. My info was submitted in November based on old criteria and just sent in the appeal and policy changed 12-1! I'm so mad. My diet was done 24 months ago is why I'm upset. But good change in general

Starting appeal process so it's looking more like January for me, unless I can squeeze in this month!

72 hours in unheard of. Mine took 13 days and they wanted more information, sent that in then 8 more days to say no. I sure hope its that soon for you though

Mine is a peer to peer apt on weds

What'd you hear?

My suggestion is to keep calling insruance everyday. Dont wait for your office to get the call or the letter. I still havent gotten my denial letter in the mail but I called everyday so I knee right away and we have already scheduled peer to peer

You have an approval? Have them send it to you electronically or to your insurance portal and then send it to your surgeons office. They are so slow, do the leg work for them

That's a good idea! I'm on my drs preop diet because his is just a low carb diet under 40 grams a day, I always est under 25 a day anyway so no big deal here. My peer to peer k scheduled 11/21

Excited, have you called your insurance company directly to ask? How long has it been?

Waiting on surgeon to schedule the peer to peer. I'm hopeful cause I have to be. If they dont accept that diet as a 6 month diet because of the chart notes then it looks like February for me. And a new deductible and all that crap

My insurance is trying to do a peer to peer review because the documentation from my pcp isnt clear about the 6 month diet

How did you get a surgery date without preauthorization? I wish I could!

Oh I hope you do!!!