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Finally Submitted

I started this journey in October 2012. This has been a strenuous process! There have been a lot of ups and downs and I hope they were worth it! I'm a state employee and this is their first year covering WLS. I had a 6 month weight management program requirement with 3 months being consecutive. My physicians office is unsure of what the insurance's mindset is regarding approval as there has been a lot of back and forth surrounding the requirements! I'm praying that God sees me through this 2 week waiting period!

I got and email from insurance coordinator today starting that my request for surgery wasn't submitted until today! She stated that there were technical difficulties that stopped her from submitting on 03/06/13. She didn't state what those technical difficulties were....so it's my guess that she just didn't submit as promised! It's only been a few hours since submitting and I'm overly anxious! I'm counting down the days until I hear the word approved!

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Congrats!!!! I'm a state employee as well BCBS of New Jersey...I was submitted today hopefully I'm approved as quickly as you were!

The stats on VST show that BCBS is very expedient about approving pre-certifications! The process will flow smoothly! Call them tomorrow to confirm receipt of your clinical documentation.

The stats on VST show that BCBS is very expedient about approving pre-certifications! The process will flow smoothly! Call them tomorrow to confirm receipt of your clinical documentation.

Thanks! I called today but they said they didn't have anything but that once received my doctor would have an answer in 5 business days.

  • Author

Thanks! I called today but they said they didn't have anything but that once received my doctor would have an answer in 5 business days.

They don't have an answer or they don't have your paperwork? If they don't have your clinical information and your coordinator supposedly submitted it...then you need to give the coordinator a call!!!!

Thanks! I called today but they said they didn't have anything but that once received my doctor would have an answer in 5 business days.

I'm amazed that my doctor submitted Monday and I called today to see if they got everything and they told me I've been APPROVED!!! I WAS SHOCKED. But oh so happy!!! I wish the same for you!!! I have BC/BS TX

They said they didn't have anything. I'm going to cal BCBS today to see if they at least have the paperwork

Congrats miss lady!!!!!! I called BCBS said they don't have anything. I'm going to check with them again today to see if its in their system and then call insurance coordinator

I will finally be submitted on Monday! I hope my insurance is speedy about approving me. :)

What insurance company do you have?

I have UHC with the Norfolk and Southern Railroad.

Thanks! I found out Thursday that they had just received everything that day. So hopefully I will hear something this week.

I'm approved!!!!

YAAAY!!! GOOD FOR YOU!!! TAKE A DEEP BREATH!!! ;)

Thanks! I called today but they said they didn't have anything but that once received my doctor would have an answer in 5 business days.

I called every day sometimes twice a day!!! Talking to two different people you always get different info. GOOD LUCK!!! ;)

  • Author

I called every day sometimes twice a day!!! Talking to two different people you always get different info. GOOD LUCK!!! ;)

It is true about the variation in info. Just keep calling until you hear you're approved!

It is true about the variation in info. Just keep calling until you hear you're approved!

The info. Pretty much is the same but some representatives would "give more" info. More details does that make sense??!! ;). Good Luck!!!!

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