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After Being Denied by Insurance how long before they review it again?



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I got the letter today saying I was denied for lap band surgery by BCBSAL: the reason was I did not have 5 years worth of recorded weight (I didnt have insurance during all 5 years) but I did submit photos with it as they requested. They also said I did not have 6 months of supervised weight loss which i just completed in January?? After you are denied how long does it typlically take for it to be reviewed again??

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When was all of your info for you 6months visit submitted? That may be something that the surgeons office goofed up on...

I understand not having insurance all 5yrs, but did you go see the doctor at all?

Good luck!

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Yea, I'm thinking even though you didn't have insurance for those years your weight should be recorded somewhere? Did you ever join a gym or weight watchers during that time and they have your weight on file?

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The lady at the DR office said she called them and the insurance company has now "found" my 6 mths of supervised diet. Now all they need is proof of my weight in those 5 yrs. Out of 5 yrs I went to the DR twice once back in 2006 and once in the beginning of 2010. I did not do Weight Watcher or anything in the years in between. Luckily they are now saying I can submit photos and they will go from there.

SO everyone please say a little prayer for me!!

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