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BCBS Insurance/attorney question
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I had my consultation a couple weeks ago. My surgeons office sent in for approval and have not heard back yet. I know they will deny the first attempt, as this is the only way for the surgeon to find out what specific criteria I need to meet. We have tried and tried to find out what criteria I need to meet, but the only thing they will tell me is that we need to submit and they will enter it into InterQual smart sheets (So much for transparency). I'm wondering if it is a good idea to just have my attorney write a letter right away? I realize I am getting ahead of myself, but already they have been a pain to work with. Has anyone here had any luck hiring an attorney to help them advocate their appeal?