AETNA DENIAL TWICE

[amaral1407 11]

Okay it been an emotional 2 weeks Aetna has denied my surgery twice due to not having proper documentation to do the 3 month multidisciplinary plan. Anyone have a copy of exactly what the doctor has to put on his paperwork every month. I have given up on the 3 month and am just hoping to get approved on the 6th month.... Any help or suggestions would be greatly appreciated. Don't think I can handle a 3rd denial...

July 8- primary care

Aug 5- primary care

Aug 5- nutritionist

Aug 19-nutritionist

Sep 2- nutritionist

Sept 9- primary care

Sept-30 nutritionist

Oct 7-primary care

Oct 21- nutritionist

I have been going to curves twice a week and walking treadmill twice a week. Done all my pre-surgery testing;

Thank you...

[Humming Bird 275]

Is your surgeon's office submitting the documents?

[amaral1407 11]

Yes, my surgeon office is submitting the paperwork. I was hoping for any tips at getting approved.

[Humming Bird 275]

I would think they should know what it takes to get the proper things turned in ..... bummer they have not done it.

Sorry, I have no insurance so can't help you on that one. Someone will jump in and give you the tips you need.

Maybe the third time's a charm ..... keeping my fingers crossed for you.

Maybe you could call your insurance provider and ask them exactly what is wrong with the paperwork.