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I don't even know what to think...



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I wonder if it would help to get a second opinion and have that doctor send in for approval to remove?

Do you know the reason the insurance company is giving for denying?

I also question which code is being submitted to the insurance company.

Your situation just sounds so "off"; almost like there is a misunderstanding somewhere along the line.

Since your doctor has already done that odd request for revision without your knowledge (and without you requesting that), I think getting a second opinion would be a good idea. Some doctor's offices seem to be better at getting approval than others.

I hope you can get it out soon!

~hiddn

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I'm in FL too, going thru similar. My band is slipped and my insurance will only cover taking it out if its "emergent" surgery. The last submittal they are doing is to fix the band. I guess its called 'Revision' - I don't even know anymore. What I do know is that if my eating is out of control I'm in such pain its ugly! But nobody said the word "eroding". Does that mean literally falling apart? If you have bariatric coverage I'd get a second opinion and definitely fight with the insurance company. Keep us posted. Right now I'm getting fatter by the minute with no result in sight - pretty sad. I was a self-pay - 14k down the tubes and my ass is just getting larger.

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