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Submitted to insurance yesterday

futuresleever

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futuresleever    44

futuresleever
Posted

It could be two things going on. One is that they truly don't have the paperwork another is that once they send the paperwork it must be going to another dept then that dept may need to look it over. My stuff was submitted on last Wed around the afternoon timeframe. I have heard that it can take 15 business days so all is not lost yet for us. I will call every other day to check on it though. I am calling the pre-cert dept. Which dept are you calling?

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Sadtosaygoodbye    256

Sadtosaygoodbye
Posted

I haven't spoken to them, just the general number, the other day they gave me a number to pre-cert but it was BCBS of Georgia so I wasn't sure if this was correct. So I have continued to call the general number.

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sbekch    19

sbekch
Posted

I also have Anthem BCBS and I am so glad to have read this post! I now know what to look forward to when my office does submit the paperwork!

Unfortunately I have emailed my PA twice this week to find out when she is submitting my paperwork but she has not responded yet! Ugh!

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futuresleever    44

futuresleever
Posted

They call a number and get a case started then from there they fax im the paperwork.

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futuresleever    44

futuresleever
Posted

Finally have a case number today. I will call back on Thursday or I may call them next Monday to see my status. they say its in review now do I don't even think they have looked at it yet

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Sadtosaygoodbye    256

Sadtosaygoodbye
Posted

I am so sorry to hear this, remember many insurances will deny you. According to the American Society of Bariatric Surgeons, insurance companies will do this in hopes that you give up. They will find errors in paperwork or errors in filing etc. to deny you. This is an expensive surgery and if they can get a few people to say "forget it or I'm done" that's money in their pocket. So don't give up file an appeal, don't let them win.

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newmein2013    1

newmein2013
Posted

I have *** of IL. I call every other day. They received my paperwork on Jan 23, rejected it on Jan 25. My surgeon's nurse said everything was sent. I guess I'll find out in about 20 min. when I call AGAIN.

Good luck to you all!

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futuresleever    44

futuresleever
Posted

I got approved pals. I got approved. :)

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nyc8dove    40

nyc8dove
Posted

I got approved pals. I got approved. :)

That is awesome!!!! Congrats

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futuresleever    44

futuresleever
Posted

Thanks

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Go To Topic Listing Insurance & Financing

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    • Alisa_S

      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

      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

        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

      CaseyP1011

      Officially here for a long time, not just a good time💪
      · 0 replies
      1. This update has no replies.
    • KimBaxleyWilson

      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!!
      · 0 replies
      1. This update has no replies.
    • bellaamey

      bellaamey

      https://alluniqueguide.com/java-burn-coffee-reviews/
      · 0 replies
      1. This update has no replies.

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