I finally got approved today for my band-to-RNY revision, with a peer-to-peer appeal after a few denials. Now I get to wait to see what my surgery date is! The coordinator didn't want to give me a set date yet (waiting on medical clearances and such), but I'm going to see if I can talk them into giving me one, since I've got to buy a ticket for my mom to come and stay with me and I have to request leave from work.

Hello! So....how are you doing? Do you have a date yet? I just got my approval today. 2 surgeries, band out, heal at least 2 months then bypass.

Congrats on your approval!

I'm having surgery on Aug 24th!

Eep, I can't believe how quickly this is going! I spent yesterday trying to get a bunch of my clearances done. My surgeon's office likes to have them done about 30 days before surgery, but since my surgery date is so close, they told me to get it done as quickly as possible. So, I spent yesterday getting a ton of blood drawn for labs and got a chest x-ray, EKG, and saw a cargiologist for clearance. I have to turn in my hemoccult sample cards tomorrow, see the pulmonologist for clearance next Tuesday, and get my final medical clearance next Wednesday (my PCP wanted to see all of my medical clearances before giving me clearance). Next Thursday is my final education class, and then the following Tuesday is my surgery day! And somewhere in there, I have to go to the hospital to do my pre-registration stuff.

My head is spinning! It seems like this took forever to get to this point, and now it's going by so quickly!

What is a "peer-to-peer appeal"?

So awesome, losing! Great to hear. I will continue the fight for hope for a revision!

What is a "peer-to-peer appeal"?[/color

So awesome, losing! Great to hear. I will continue the fight for hope for a revision!

A peer to peer is when your surgeon calls the medical director of the insurance company directly and speaks with them to make the appeal.

Edited August 7, 201511 yr by losing_the_band

What is a "peer-to-peer appeal"?[/color

So awesome, losing! Great to hear. I will continue the fight for hope for a revision!

A peer to peer is when your surgeon calls the medical director of the insurance company directly and speaks with them to make the appeal.

Thank you, Losing. I see my Dr. on 8/18. I want my Dr. to fight for me!