missviolet

I was told that my surgeon's office had faxed or mailed the request for preauthorization over already. I finally got a different phone number other than my insurance company's customer serivce line - a medical management line - and they finally show record of having recieved the letter but didn't bother making record of it because the band is excluded from my plan. ARG!

:thumbup: My surgeon sent a pre-authorization request into my insurance company. The lap band is an exclusion on my plan but we sent it in anyway, to at least start an appeals process. My insurance company is claiming to have no record of any such preauthorization and therefore I can't start an appeals process. My surgeon's insurance specialist is telling me that they won't have a record of the preauthorization because it is a exclusion on my plan. I'm confused and frustrated and not sure where to go. Can someone please point me in the right direction as far as geting the appeals process started? Does anyone know about an insurance plan that actually covers the band? (My current insurance provider is First Choice Health) Thanks!