Sistabigbones

ok.here we go. I had my psych eval on April 23..called the drs office every few days after that trying to see if they had my letter of med necessity ready. was told daily by the secretary in the psych office that they were waiting on my stuff to come back from the transcriptionist.WTF?? So finally, monday MAY 11, i called again at which time i was told the same thing.I told the secretary that it had been 3 weeks and there was no way it was taking that long.so she went to speak with the dr about it. came back on the phone and proceeded to tell me that blue cross had denied their claim because precert was not obtained so they are not releasing my records until blue cross pays them. Now i work for the insurance company so when i made the appt, i walked her step by step on how and where to send her claim and about the need for precert.what more does she expect from me. I can't file the claim for her!! So I called the dept at bluecross that handles the claims and was told that it was denied because she did not get precert AND she submitted the claim to the wrong place(submitted it to psych instead of medical) but recall, i had already told her where to submit and everything.. So i told the lady in claims at BC all of this and she asked me if the psych eval was for clearance. i told her that it was for clearance for my WLS. She told me that she would follow up with the correct area and try to get them to overturn the denial. I have spoken with insurance everyday since then and still no decision yet. It's against the law for the dr to keep my medical record from me but the fact that she is even trying to makes me afraid of what she may write if i cause too big of a stink about the fact that it is against the law. So needless to say, i have a call in to another psych dr and hopefully i can get an appt soon so I can get this show on the road!! I work for the insurance company and am frustrated..imagine the frustration of the people that don't work day to day with this type of mess!! well, wish me luck!! As the Joss Stone song says, "i'm bruised but not broken"!!:smile2::w00t:

ok.here we go. I had my psych eval on April 23..called the drs office every few days after that trying to see if they had my letter of med necessity ready. was told daily by the secretary in the psych office that they were waiting on my stuff to come back from the transcriptionist.WTF?? So finally, monday MAY 11, i called again at which time i was told the same thing.I told the secretary that it had been 3 weeks and there was no way it was taking that long.so she went to speak with the dr about it. came back on the phone and proceeded to tell me that blue cross had denied their claim because precert was not obtained so they are not releasing my records until blue cross pays them. Now i work for the insurance company so when i made the appt, i walked her step by step on how and where to send her claim and about the need for precert.what more does she expect from me. I can't file the claim for her!! So I called the dept at bluecross that handles the claims and was told that it was denied because she did not get precert AND she submitted the claim to the wrong place(submitted it to psych instead of medical) but recall, i had already told her where to submit and everything.. So i told the lady in claims at BC all of this and she asked me if the psych eval was for clearance. i told her that it was for clearance for my WLS. She told me that she would follow up with the correct area and try to get them to overturn the denial. I have spoken with insurance everyday since then and still no decision yet. It's against the law for the dr to keep my medical record from me but the fact that she is even trying to makes me afraid of what she may write if i cause too big of a stink about the fact that it is against the law. So needless to say, i have a call in to another psych dr and hopefully i can get an appt soon so I can get this show on the road!! I work for the insurance company and am frustrated..imagine the frustration of the people that don't work day to day with this type of mess!! well, wish me luck!! As the Joss Stone song says, "i'm bruised but not broken"!!:cursing::w00t:

oh my!!! I had my stress test on yesterday. Picture this, 254 pound woman RUNNING at 5mph on a treadmill with an incline of 4!!! I was about to fall out!!! I had to ask the dr if he thought that was humane. :w00t: I am 254 pounds and there is no way in the world all of my meat should move at one time that fast on that incline and in that heat(the room was about the size of an oversized closet and had no air) The dr thought I was sooo funny!! but needless to say, I survived!! The last thing that i need to do is do my nutrition eval on May 11th and then I will be ready to submit to insurance! I am soooooooooooo excited!!! One step closer!!!

oh my!!! I had my stress test on yesterday. Picture this, 254 pound woman RUNNING at 5mph on a treadmill with an incline of 4!!! I was about to fall out!!! I had to ask the dr if he thought that was humane. I am 254 pounds and there is no way in the world all of my meat should move at one time that fast on that incline and in that heat(the room was about the size of an oversized closet and had no air):wub: The dr thought I was sooo funny!! but needless to say, I survived!! The last thing that i need to do is do my nutrition eval on May 11th and then I will be ready to submit to insurance! I am soooooooooooo excited!!! One step closer!!!:wink:

OK..so I am a healthy person other than being obese(is that possible??):thumbup: But anyway, I have my medical clearance and this morning, I went in for my psych eval. 500+ questions and it took me about 1.5 hours to do it. I will have to wait about 2 weeks to get those results back. I have an echo and stress testing on Monday. My last clearance will be my 3 hour nutrition class on May 11. I will have completed all of my clearances and can submit to insurance at the end of May.:tounge_smile: Hopefully, I can get a surgery date for sometime in July. I am excited and soooooooo looking forward to this. I know it won't be easy but neither is carrying around 256 pounds on a 5 ft 3 frame!!!

OK..so I am a healthy person other than being obese(is that possible??):thumbup: But anyway, I have my medical clearance and this morning, I went in for my psych eval. 500+ questions and it took me about 1.5 hours to do it. I will have to wait about 2 weeks to get those results back. I have an echo and stress testing on Monday. My last clearance will be my 3 hour nutrition class on May 11. I will have completed all of my clearances and can submit to insurance at the end of May.:thumbup: Hopefully, I can get a surgery date for sometime in July. I am excited and soooooooo looking forward to this. I know it won't be easy but neither is carrying around 256 pounds on a 5 ft 3 frame!!!:thumbdown:

Who are "these people" that you keep referring to BethfromVA?? Your posts are kind of disturbing. Everyone is entitled to an opinion but the "these people" remarks are sort of unnerving!!

Hi!! Also live in Geogia. I am planning to use Peachtree Bariatrics (Dr Titus Duncan)..went to the seminar on saturday and have md clearance appts for the next 2-3 weeks(medical,psych and cardiology)...hope to be banded by June...good luck to you!!!

Good Luck with surgery tomorrow!!! I go to my first seminar on Saturday and hopefully will be able to get my insurance approval within the next 60 days...I wish u a speedy recovery and HUGE weightloss!!!

Thank you so much for your reply!! I am so excited!!! I will keep u posted on how everything goes.

Hi everyone!!! I'm a GEORGIA girl in Fairburn. Just starting out with the "band process"..I am going to the seminar with Dr Titus Duncan on the 21st of March. Really excited about it..ready to get rid of this other person that has been riding my back for the past 20 years!!!!!!!!!!

Thanks so much!!! Did you have a hard time doing the liquids after surgery? How much have you lost if u don't mind me asking?

I have just made up my mind to start the journey towards getting banded. I am due to go to a seminar on March 21st and I guess I will find out from there what I need to do. Any suggestions??