I have been approved!
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After a year and a half of jumping through hoops, a year of trying to get staff at my primary care Drs office to get the correct documentation to the surgeons office, my approval was received in less than 24 hours. Unfortunately my spouse is scheduled for an urgent spine surgery the first week of November so now I will have to put off until probably Feb 2016. At least I know I won't have a fight from the insurance co.