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GHI denial

Well I was denied because they said I didn't have 26 weeks of a medically supervised diet. I gave in copies of my doctor's patient progress notes, you know, the pages they write on every time you see the doc. I didn't have a cover letter. They said they couldn't go through all those pages and they wanted the information all on one page. I called my doc and they were getting a letter together to send with the progress notes again. BTW, these progress notes were from the past TWO years, a bit more then they need. It's in the appeals department now and hopefully will be OK soon. I start on the liquid diet Monday.

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Well I made a bunch of calls and had a bunch of letters typed up and sent to GHI and I have been approved. Just wanted anyone having this problem, to take the bull by the horns and make phone calls and don't sit back hoping the doctor's office can take care of this themselves. I'm sure they could, but I did help in getting the approval.

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