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Bcbs

Has any one ever been denied surgery by blue cross blue shield if so why. I ask because I will be submitting for approval soon and I want to be prepared

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They approved me and quickly. I didn't have any other issues other than a high bmi. Everyone says it takes so long sometimes for insurance approval, so I was excited when I heard so soon, like 3 or 4 days I think.

Has any one ever been denied surgery by blue cross blue shield if so why. I ask because I will be submitting for approval soon and I want to be prepared

I had surgery in March, there were a fair amount of people with BCBS(we had a thread) What I learned is, if you follow the guidelines and meet qualifications according to your employer's plan you will be approved. BCBS usually comes back with a decision rather quickly, it pretty cut and dry.

If you are denied, appeal. I've heard that a lot of people who were initially denied were approved when they appealed....especially if it was a peer review appeal.

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