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Need Input On Gastric Sleeve Surgery Denial
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A quick background - I had a lapband slip diagnosed in June. EGD confirmation in July. Band removed in September. And last week my insurance denied my revision to a sleeve. I have a background in the insurance industry so I'm not completely at a loss, but... My surgeon had a wonderful lady who knew the revision process inside and out, who quit just a few weeks ago. Their new lady is, well... new... and I'm her first revision case. Uh oh. So I'm kind of having to be my own advocate, because she just doesn't know. The reasons for my denial were:
The revision is covered, otherwise. I don't have to worry about exclusions. But I need to figure out how to prove those two points.
Anyone experienced denial on these same two provisions? Would you mind sharing what types of information & documentation you provided?
Thanks all... I'm an instant gratification kind of girl, and this blows.