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Denied.

So, I called BCBS on my way to work this morning (Well, yesterday morning, Wednesday). I got denied. They said the only reason was that they didn't have proof of where I've been compliant with diet and exercise after my Lapband surgery. I then called my surgeons office and the RN, Helen, that deals with insurance stuff said she is aware, she already received the denial. She said she feels I've been very compliant and is going to review my file again. Then she said she'll decide whether she will request them to reconsider, or whether to have Dr. Miles himself do a peer to peer review.. I'm bummed... But trying to stay in good spirits that it will all work out in the end. Helen told me that she's super busy this week, but that she will get to it the first of next week and will let me know what's going on. She told me that her and Dr. Miles wouldn't have submitted my case if they didn't feel I'd been compliant. So at least it seems they're going to fight for me. :/

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  • @@kaoson2 I did get approved with the peer to peer review! I had my surgery 11/30/15, band to RNY revision. I've lost 47lbs so far. It's a daily struggle, but worth it so far! Sent from my iPhone

  • ImBringingLisaBack RNY
    ImBringingLisaBack RNY

    Please don't give up! I've been on a roller coaster ride for the last 5 months of this process and I can tell you I'm very very happy I didn't give up!! I was denied 2 xs in a week until my dr did a p

  • The Candidate
    The Candidate

    I hope you get it overturned. Stay positive and good luck!

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