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Surgeon & Cigna... Peer to Peer Phone Review?

Has anyone had to do this??

Cigna Authorization Dept wants to have a Peer to Peer phone conversation with my surgeon so they can discuss what additional information needs to be provided by my surgeon or myself.

Quick recap: I was denied a few wks ago because of 6 month doc visits which was completed and submitted. I called Cigna to find out exactly what was missing and after talking to 4 people (on the phone 1 hr 50 mins) they told me I submitted everything and it's all documented.

Not sure if this is normal request or if they just didn't have an answer for me so and this request would get me off the phone. Although the folks I was talking to today were wonderful! Finally - someone who actually was trying to answer my questions.

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Not sure how it happend, but Cigna approved me in less than 24 hours!! My sx is 5/9/07. Good Luck!

:clap2: I know sometimes they approve in 24 hrs. I don't know why it took them a MONTH to approve mine:angry . Oh, well at least I was approved and I had my surgery 5 days ago:biggrin1: I'm feeling great, today I went shopping and I had a great time.

Good luck with your surgery and congratulations:whoo: :whoo: :whoo: :whoo: :whoo: :whoo: :whoo: :whoo: :whoo: :whoo: :whoo: :gluck:

  • 2 weeks later...

When CIGNA approved mine, they had rejected it twice. I had decided to have my hysterectomy since it looked like no approval in sight. I got the approval letter the day I came home from the hospital. I stood on the driveway in my bathrobe laughing hysterically. My family wasn't too sure about me. I had to wait six more months to have the LapBand because I had just had the big surgery. Then they held up paying the hospital for the LapBand because it had been so long. A phone call fixed everything.

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