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Being in the medical field and having to deal with insurances. It has a lot to do with having the proper wording on the forms. You may qualify and meet all the requirements but if the doctor's office forget to check something you are denied. It is alway a good idea to appeal and to talk to the requesting provider to make sure the paperwork was filled out throroghly

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UPDATE....Im APPROVED as of this morning. WOOT WOOT

After I was denied the reason was cause I didn't meet criteria for the approval but I clearly did. So we resubmitted and the insurance lady (Lisa) wrote them a letter stating that I do meet the requirments and to see attached paperwork from my pcm and the surgeon. In less than 24 hrs I was approved how amazing is that!! Clearly the right person got a hold of it this time and saw the mistake. I cried I was so excited. Don't have a surgery date yet but Im looking forward to getting that in the next few days.

For those who are still appealing your denials have faith and NEVER give up...you are worth it!!

Great news! All the best to you in your surgery as as your enter your journey to healthy eating.

Keep us posted,

Melinda

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Have surgery date of Aug 4th woot woot. Im so excited everything is moving so quickly now.

Started my pre-op diet today. Made it through day one without to much hunger pangs. Can't imagine doing this for another week...but I will.

The diet consists of: 4 Protein shakes mixed with milk or Water

2 fruit servings either mixed into shake or consumed seperately

unlimited SF popsiscles, Jello, sherbert and broth,water,crystal light

limited to 2 cups of either gatorade, diet coke, juice

Looking forward to change.

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