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Paperwork Sent To Insurance Company For Approval



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Arrrggggggggggg. See my post in the pre surgery section :/

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Well the insurance company requested more documentation so I have been on a wild goose chase to get in touch with my previous physicians to get this documentation in a timely fashion. I an so stressed out I hope all goes well. Anyone else had to submit additional documentation?

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fortunatly my doc office gave me good info as to what the ins needed and yes I had to go back i think 5 years so i got the info sent to them early.

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Hey, I called the insurance company today after waiting a week to call and was told that the nurse reviewed the info and submitted it to the medical examiner for review. I asked how long the review would take and she said that the nurse had contacted the reviewer today to see if more clinical info was needed, but had not received a return call.

What do you guys think about that? Is that good or bad?

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I have been calling and found out that it has been sent to the doctor for review. I don't know if this is a good or bad thing.

Mine has been sent to the doctor for review too. Have you heard anything yet? How long has it taken? I'm calling tomorrow!!

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Well the insurance company requested more documentation so I have been on a wild goose chase to get in touch with my previous physicians to get this documentation in a timely fashion. I an so stressed out I hope all goes well. Anyone else had to submit additional documentation?

Well update I got the necessary information that wad requested. Egger only problem now is they want a weight history for 2011 other than my initial consult. Unfortunately I didn't see a doctor who took my weight so hopefully they will accept the initial consult weight for 2011 and look back at all my other past history of weight. Thinking positively!

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Well the insurance company requested more documentation so I have been on a wild goose chase to get in touch with my previous physicians to get this documentation in a timely fashion. I an so stressed out I hope all goes well. Anyone else had to submit additional documentation?

Well update I got the necessary information that wad requested. The only problem now is they want a weight history for 2011 other than my initial consult. Unfortunately I didn't see a doctor who took my weight so hopefully they will accept the initial consult weight for 2011 and look back at all my other past history of weight. Thinking positively!

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Some will take pictures. Do u have any pictures from 2011.

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I do have pictures but my advocate says Aetna is so strict about what they want.

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Well my surgery was canceled, I recieved my denial letter on wednesday, all because the morons at my surgeons office insisted that i only had to do 4 months with the NUT. Well turns out that if she would of listened to me when i told her my plan specifically requires 6 months of visits with the NUT i would not be crushed right now. My only other issue is that i submitted weight histories for 2007, 2009, 2010, 2011, 2012. Turns out i was not at a bmi of 35 until 2009. I have now requested my weight history from my Dr. in Florida for 2008 (we had briefly relocated to FL and when we moved back i lost the info for who the dr. was since i only visited him twice i couldnt remember his name) My friend figured it all out for me and the request has been sent. Keeping fingers crossed that my bmi was 35 in 2008. Surgery will be rescheduled sometime in August. Good luck to you all.

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I am so sorry honey! Hoping that everything gets sorted out quickly. Keep us posted on your status!

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Hey, guys, guess what? I was driving today (July 3) when my surgeon's office called and said I AM APPROVED for surgery!! OMG! I am so surprised! I had already made plans to go to MX after I spoke with the insurance company last week and they were soooo negative! I am still in shock!! Thanks to all of you for your advice and well wishes! And to everyone waiting on the insurance to respond, stay positive! It will happen!

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Hey' date=' guys, guess what? I was driving today (July 3) when my surgeon's office called and said I AM APPROVED for surgery!! OMG! I am so surprised! I had already made plans to go to MX after I spoke with the insurance company last week and they were soooo negative! I am still in shock!! Thanks to all of you for your advice and well wishes! And to everyone waiting on the insurance to respond, stay positive! It will happen![/quote']

Congrats I hope to have the same outcome. My insurance has been giving nee the run around the past 2 Weeks continually asking for additional documentation. Everything has green submitted so hope to be hearing from then soon with an approval.

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Congrats I hope to have the same outcome. My insurance has been giving nee the run around the past 2 Weeks continually asking for additional documentation. Everything has green submitted so hope to be hearing from then soon with an approval.

It will happen when you least expect it!

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It will happen when you least expect it!

You're right. I'm just going to continue to be patient.

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    • Alisa_S

      On day 4 of the 2 week liquid pre-op diet. Surgery scheduled for June 11th.
      Soooo I am coming to a realization
      of something and I'm not sure what to do about it. For years the only thing I've enjoyed is eating. We rarely do anything or go anywhere and if we do it always includes food. Family comes over? Big family dinner! Go camping? Food! Take a short ride or trip? Food! Holiday? Food! Go out of town for a Dr appointment? Food! When we go to a new town we don't look for any attractions, we look for restaurants we haven't been to. Heck, I look forward to getting off work because that means it's almost supper time. Now that I'm drinking these pre-op shakes for breakfast, lunch, and supper I have nothing to look forward to.  And once I have surgery on June 11th it'll be more of the same shakes. Even after pureed stage, soft food stage, and finally regular food stage, it's going to be a drastic change for the rest of my life. I'm giving up the one thing that really brings me joy. Eating. How do you cope with that? What do you do to fill that void? Wow. Now I'm sad.
      · 0 replies
      1. This update has no replies.
    • Alisa_S

      On day 4 of the 2 week liquid pre-op diet. Surgery scheduled for June 11th.
      Soooo I am coming to a realization
      of something and I'm not sure what to do about it. For years the only thing I've enjoyed is eating. We rarely do anything or go anywhere and if we do it always includes food. Family comes over? Big family dinner! Go camping? Food! Take a short ride or trip? Food! Holiday? Food! Go out of town for a Dr appointment? Food! When we go to a new town we don't look for any attractions, we look for restaurants we haven't been to. Heck, I look forward to getting off work because that means it's almost supper time. Now that I'm drinking these pre-op shakes for breakfast, lunch, and supper I have nothing to look forward to.  And once I have surgery on June 11th it'll be more of the same shakes. Even after pureed stage, soft food stage, and finally regular food stage, it's going to be a drastic change for the rest of my life. I'm giving up the one thing that really brings me joy. Eating. How do you cope with that? What do you do to fill that void? Wow. Now I'm sad.
      · 1 reply
      1. summerseeker

        Life as a big person had limited my life to what I knew I could manage to do each day. That was eat. I hadn't anything else to look forward to. So my eating choices were the best I could dream up. I planned the cooking in managable lots in my head and filled my day with and around it.

        Now I have a whole new big, bigger, biggest, best days ever. I am out there with those skinny people doing stuff i could never have dreamt of. Food is now an after thought. It doesn't consume my day. I still enjoy the good home cooked food but I eat smaller portions. I leave food on my plate when I am full. I can no longer hear my mother's voice saying eat it all up, ther are starving children in Africa who would want that!

        I still cook for family feasts, I love cooking. I still do holidays but I have changed from the All inclusive drinking and eating everything everyday kind to Self catering accommodation. This gives me the choice of cooking or eating out as I choose. I rarely drink anymore as I usually travel alone now and I feel I need to keep aware of my surroundings.

        I don't know at what point my life expanded, was it when I lost 100 pounds? Was it when I left my walking stick at home ? Was it when I said yes to an outing instead of finding an excuse to stay home ? i look back at my last five years and wonder how loosing weight has made such a difference. Be ready to amaze yourself.

        BTW, the liquid diet sucks, one more day and you are over the worst. You can do it.

    • CaseyP1011

      Officially here for a long time, not just a good time💪
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    • KimBaxleyWilson

      Three months and four days ago... I was in Costa Rica having a life changing surgery! Yesterday we had a followup visit with Dr. Esmeral via video chat and this morning my middle number changed.  I'm down 47lbs and two pants sizes. I can wear a Large tshirt for the first time in like... 14 years! Woot!! Everything is going great. I have zero regrets. I went down to the riverwalk with a friend and walked 2 miles on Monday without even getting fatigued. And no more snoring or chugging pickle juice for crazy leg cramps! I need to go to the gym more... I'm making new shirts next week so that will motivate me. LOL But I'm also just not as TIRED all the time! I have a LONG way to go...but seeing the progress on the scales and in the mirror is a huge motivator!! Thank you all for cheering me on and supporting me!!
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    • bellaamey

      https://alluniqueguide.com/java-burn-coffee-reviews/
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