Jump to content
×
Are you looking for the BariatricPal Store? Go now!

Submitting your information



Recommended Posts

I started seeing Dr. Kollar a year ago this past Dec. Started out thinking to go the lap band route but when I saw him in Oct. we decided to go with the sleeve. I'm 5'4 216lbs, my BMI is 37.1. I have at least 4 comorbidities. Also had psych eval and consults wiyh dietician. I have a letter of medical necessity from my primary and I also have two more one from my back Dr. and the other from my vascular. I have chronic venous insufficency. I'm at a loss.

Share this post


Link to post
Share on other sites

My surgeon's office called late Thursday and said they are still missing the psych eval (he promised to send it out before Christmas); I'm so mad and of course have to wait until Monday to get someone in the office there. The nurse also told me no labs which I had done last monday at Quest. I stopped by this morning and they looked me up and said not finalized. I asked why when typically Quest gets reports back in a day, two at most. They said because it had to do all those test on the Vitamins and such. It was really a long lab list. So hopefully that will be this week sometime. But they only need to psych for the insurance, the labs are just the pre-op. I don't want to schedule the endoscopy until BCBS says they'll be paying.

Share this post


Link to post
Share on other sites

So they drag my psych out of his surgery recovery and he tells his staff where to find the eval that he did in fact send to Cleveland clinic, my surgeon the day of our meeting. So she refaxed the one that showed it was already done. The surgeon staff confirmed they got it, but didn't apologize for losing it or whatever.

She also said she's not sure I will be approved after all of this, because my BMI hasn't been 40 for over two years. and while its been over 37 most of my life, I only have co morbity evidence for 2015, not going back two years. That isn't at all what the eligibility states for BCBS Fep.

I also just Saturday received my official letter from the surgeon dated Dec. 11th, the day we met. And he said he was removing my gallbaldder, yet that was missing from the surgery plan.

Although my surgeon is suppose to be one of the best, one that fixes others mistakes, I'm losing faith in Cleveland Clinic. They just seem soooooooooooooo disorganized there.

Edited by trekker954

Share this post


Link to post
Share on other sites

Oh my goodness I'm so sorry I would totally be frustrated I sure hope they approve u... Having a bmi of 40for over 2 years is ridiculous....... I have no medical documentation before I started everything except for a uti... My insurance did not require 2 yrs of showing my bmi..... I sure hope they approve it anyways

Share this post


Link to post
Share on other sites

Well here we go again.....I have two friends that have had the procedure done over the Xmas break. They both went for their follow ups yesterday. Mention me to the coordinator. Coordinator told them insurance has my information but probably has'nt seen it yet because of the holidays? She told them I should call the insurance back in a week or two? I think I'm going to call the office and find out what day the information was actually sent out.

Share this post


Link to post
Share on other sites

I would call ur doctors office back and let them know what ur insurance is saying so they can refax it..... I'm sure they did fax it.... It's just so many offices either has someone miss place taxes or some are electronic faxes and will show sent on one side but won't come through on the other..... I'm saying this from experience I also do authorizations for a living and at times a gotta fax things several times..... So definitely call ur dr again and just let her know that u spoke with ur insurance and they claim to not have received it would u mind refaxing it.... Sometimes we gotta be persistent to get our stuff done right......best of luck please let me know how it goes

So what if, when all the information and notes are collected, we tell the doctor's office to give us a copy for our records and fax cover sheet they send (we should be allowed to get it because it's our medical records) and keep it just in case the doctor's office takes their sweet time to send it or something else happened that's causing a delay. If that happens then we can always fax over the info to the insurance company. Is that possible?

Share this post


Link to post
Share on other sites

I don't see why not...... Some places charge for copies but if uwanted them I don't see why they wouldn't give u them or have u sign a release of records........ As far as fax cover sheet I'm not sure depends on companies policy since its their information on it.... Doesn't hurt to ask them

I would if they don't get to the bottom of it ask for a supervisor that's just crazy long

Share this post


Link to post
Share on other sites

Well here we go again.....I have two friends that have had the procedure done over the Xmas break. They both went for their follow ups yesterday. Mention me to the coordinator. Coordinator told them insurance has my information but probably has'nt seen it yet because of the holidays? She told them I should call the insurance back in a week or two? I think I'm going to call the office and find out what day the information was actually sent out.

I would seems u been waiting way too long if something don't happen soon I would ask for a supervisor

Share this post


Link to post
Share on other sites

Well here we go again.....I have two friends that have had the procedure done over the Xmas break. They both went for their follow ups yesterday. Mention me to the coordinator. Coordinator told them insurance has my information but probably has'nt seen it yet because of the holidays? She told them I should call the insurance back in a week or two? I think I'm going to call the office and find out what day the information was actually sent out.

well that's a huge HIPPA violation!

Share this post


Link to post
Share on other sites

Create an account or sign in to comment

You need to be a member in order to leave a comment

Create an account

Sign up for a new account in our community. It's easy!

Register a new account

Sign in

Already have an account? Sign in here.

Sign In Now

  • Trending Products

  • Trending Topics

  • Recent Status Updates

    • Alisa_S

      On day 4 of the 2 week liquid pre-op diet. Surgery scheduled for June 11th.
      Soooo I am coming to a realization
      of something and I'm not sure what to do about it. For years the only thing I've enjoyed is eating. We rarely do anything or go anywhere and if we do it always includes food. Family comes over? Big family dinner! Go camping? Food! Take a short ride or trip? Food! Holiday? Food! Go out of town for a Dr appointment? Food! When we go to a new town we don't look for any attractions, we look for restaurants we haven't been to. Heck, I look forward to getting off work because that means it's almost supper time. Now that I'm drinking these pre-op shakes for breakfast, lunch, and supper I have nothing to look forward to.  And once I have surgery on June 11th it'll be more of the same shakes. Even after pureed stage, soft food stage, and finally regular food stage, it's going to be a drastic change for the rest of my life. I'm giving up the one thing that really brings me joy. Eating. How do you cope with that? What do you do to fill that void? Wow. Now I'm sad.
      · 0 replies
      1. This update has no replies.
    • Alisa_S

      On day 4 of the 2 week liquid pre-op diet. Surgery scheduled for June 11th.
      Soooo I am coming to a realization
      of something and I'm not sure what to do about it. For years the only thing I've enjoyed is eating. We rarely do anything or go anywhere and if we do it always includes food. Family comes over? Big family dinner! Go camping? Food! Take a short ride or trip? Food! Holiday? Food! Go out of town for a Dr appointment? Food! When we go to a new town we don't look for any attractions, we look for restaurants we haven't been to. Heck, I look forward to getting off work because that means it's almost supper time. Now that I'm drinking these pre-op shakes for breakfast, lunch, and supper I have nothing to look forward to.  And once I have surgery on June 11th it'll be more of the same shakes. Even after pureed stage, soft food stage, and finally regular food stage, it's going to be a drastic change for the rest of my life. I'm giving up the one thing that really brings me joy. Eating. How do you cope with that? What do you do to fill that void? Wow. Now I'm sad.
      · 1 reply
      1. summerseeker

        Life as a big person had limited my life to what I knew I could manage to do each day. That was eat. I hadn't anything else to look forward to. So my eating choices were the best I could dream up. I planned the cooking in managable lots in my head and filled my day with and around it.

        Now I have a whole new big, bigger, biggest, best days ever. I am out there with those skinny people doing stuff i could never have dreamt of. Food is now an after thought. It doesn't consume my day. I still enjoy the good home cooked food but I eat smaller portions. I leave food on my plate when I am full. I can no longer hear my mother's voice saying eat it all up, ther are starving children in Africa who would want that!

        I still cook for family feasts, I love cooking. I still do holidays but I have changed from the All inclusive drinking and eating everything everyday kind to Self catering accommodation. This gives me the choice of cooking or eating out as I choose. I rarely drink anymore as I usually travel alone now and I feel I need to keep aware of my surroundings.

        I don't know at what point my life expanded, was it when I lost 100 pounds? Was it when I left my walking stick at home ? Was it when I said yes to an outing instead of finding an excuse to stay home ? i look back at my last five years and wonder how loosing weight has made such a difference. Be ready to amaze yourself.

        BTW, the liquid diet sucks, one more day and you are over the worst. You can do it.

    • CaseyP1011

      Officially here for a long time, not just a good time💪
      · 0 replies
      1. This update has no replies.
    • KimBaxleyWilson

      Three months and four days ago... I was in Costa Rica having a life changing surgery! Yesterday we had a followup visit with Dr. Esmeral via video chat and this morning my middle number changed.  I'm down 47lbs and two pants sizes. I can wear a Large tshirt for the first time in like... 14 years! Woot!! Everything is going great. I have zero regrets. I went down to the riverwalk with a friend and walked 2 miles on Monday without even getting fatigued. And no more snoring or chugging pickle juice for crazy leg cramps! I need to go to the gym more... I'm making new shirts next week so that will motivate me. LOL But I'm also just not as TIRED all the time! I have a LONG way to go...but seeing the progress on the scales and in the mirror is a huge motivator!! Thank you all for cheering me on and supporting me!!
      · 0 replies
      1. This update has no replies.
    • bellaamey

      https://alluniqueguide.com/java-burn-coffee-reviews/
      · 0 replies
      1. This update has no replies.
  • Recent Topics

  • Hot Products

  • Sign Up For
    Our Newsletter

    Follow us for the latest news
    and special product offers!
  • Together, we have lost...
      lbs

    PatchAid Vitamin Patches

    ×