Pre-determination denial and turnaround. Help!

[Jday 17]

Help!

So, my original date was 2/24. I received mail yesterday (pre-determination) stating denial due to insufficient documentation for co morbidity. Talked with my surgeons office this morning, it could be a coding issue combined with not sending in my BP treatment plan. The surgeon is interested in bumping up my surgery due to an cancellation to 2/5. I'm scheduled to go in for my Pre-Op class tomorrow now.

Has anyone experienced denial and a fast turn around when supporting documentation is sent back in.

The variables have me on a roller coaster ride of emotions!

[hboston 8]

Yes! I was denied by insurance a week before my surgery date, had my bag packed my work leave approved. it was going to be April 24, 2017. I was crushed!! They denied the Surgeon and the Hospital after I went through the entire program. After a lot of tears and frustration I found a hospital that was covered under my insurance and started over at a new hospital and they were fantastic! They understood that I already had all the other requirements I was able to go through the new hospital's program a little quicker then usual. So instead of an April surgery date, I didn't give up and had it done in August 9, 2017. Don't give up!! work with the Dr. office and Insurance Company. it's worth the fight.

[Elizabeth 06388 31]

Yes! I was denied by insurance a week before my surgery date, had my bag packed my work leave approved. it was going to be April 24, 2017. I was crushed!! They denied the Surgeon and the Hospital after I went through the entire program. After a lot of tears and frustration I found a hospital that was covered under my insurance and started over at a new hospital and they were fantastic! They understood that I already had all the other requirements I was able to go through the new hospital's program a little quicker then usual. So instead of an April surgery date, I didn't give up and had it done in August 9, 2017. Don't give up!! work with the Dr. office and Insurance Company. it's worth the fight.

It's probably for the best. The surgeon's office should of checked all that out before you started the process !

Sent from my XT1650 using BariatricPal mobile app