Just received my bcbs anthem EOBs and they are denying both the nutritionalist and surgical center consult charges!! WTHeck!

From what I've been told GoodYear bcbs is a great insurance, wonder why they are denying!

BCBS denies a lot of claims initially. I work for a hospital & we have a hell of a time getting our payments from them. Two things could be going on. The providers could be considered out of network or the claim is not coded in a way that will be covered. My nut & psych did not participate with my provider (Cigna) so those were out of pocket expenses for me. Call your doc's office & see if they have more information about the rejection. I hope it works out for you.

Found out today that surgery was denied because I was 39.9 BMI with no morbidities. She said to run in and she would reweigh me- I've never been so happy to have gained 4 pounds over the holidays!

Today's BMI is 40.6- she said she is faxing to insurance and should hear back by next week!!

She said I will have a date set before the end of feb for surgery! I'm SO EXCITED!!!!!!!!

Yay!! For once it's a good thing to gain weight! I'm excited for you!

YAY! I was thinking there was a problem with the coding too. I always stay in network to have the bills covered I don't want to pay for the doctor bills they can get crazy. Best Wishes!! Keep us posted on your surgery date!

OHHH MYYYYY GOODNESSSSSS!!!!!

I called BCBS Anthem tonight to see how the resubmit of weight went last Friday, IM APPROVED!!!!! Ahhhhhhh!!!!! It says my dos is Jan 14!! But I haven't set a date with the dr yet!! Hmmm!!!! Geez, this is crazy and fast an I'm so excited! Hope to hear from surgical center tomorrow!!

Just received my bcbs anthem EOBs and they are denying both the nutritionalist and surgical center consult charges!! WTHeck!

From what I've been told GoodYear bcbs is a great insurance' date=' wonder why they are denying!

[/quote']

I have the same insurance. I have to pay 200 out of pocket for the nutr. I was told no ins covers it

Found out today that surgery was denied because I was 39.9 BMI with no morbidities. She said to run in and she would reweigh me- I've never been so happy to have gained 4 pounds over the holidays!

Today's BMI is 40.6- she said she is faxing to insurance and should hear back by next week!!

She said I will have a date set before the end of feb for surgery! I'm SO EXCITED!!!!!!!!

Woohoo

I have the same insurance. I have to pay 200 out of pocket for the nutr. I was told no ins covers it

I have Blu cross blue shield of OK and mine covered the dietician!!

OHHH MYYYYY GOODNESSSSSS!!!!!

I called BCBS Anthem tonight to see how the resubmit of weight went last Friday' date=' IM APPROVED!!!!! Ahhhhhhh!!!!! It says my dos is Jan 14!! But I haven't set a date with the dr yet!! Hmmm!!!! Geez, this is crazy and fast an I'm so excited! Hope to hear from surgical center tomorrow!![/quote']

U lucky thing u lol I have to do 6 months of weight management first.

I have Blu cross blue shield of OK and mine covered the dietician!!

Idk maybe it's the hospital it sucks tho.

I have Blue Care Network and they won't cover a dietician either. Seems like if they would pay thousands for the surgery they would cover something that small to help u b successful.

All my dietician appts been covered 100%

I have the same insurance. I have to pay 200 out of pocket for the nutr. I was told no ins covers it

I have BCBS, they covered all my nut appts

I wish my phone would ring!!! Why is this taking so long?? (Said in my whiniest voice ever!)

Just want the date, and know the next steps till I get there, and have a plan!! Puuulllllleeeeeezzzzeee call me!

You actually can call your insurance company and get updates. By doing this I found out they actually needed more info like a date for surgery within 30 minutes I had surgeons office on the phone and got a date and about 30 minutes after that I was approved