How many times did you guys and girls have to appeal an insurance denial before it went through (if it went through?)
I have Harvard Pilgrim, and they have determined that my revision is not medically necessary despite reflux that wakes me up every night with imaging and an upper endo to prove this.
I plan to call my surgeon's office and find the best way to appeal it, but I was just curious if anyone had successfully appealed before - particularly with Harvard Pilgrim.

Thanks!

I was approved right away the first time we (myself/surgeon) applied with mine.

1 hour ago, SummerTimeGirl said:

I was approved right away the first time we (myself/surgeon) applied with mine.

The first time you appealed it? Or the first time you submitted it?
I'm wondering about people's experiences with appeals.

13 minutes ago, EllieV said:

The first time you appealed it? Or the first time you submitted it?
I'm wondering about people's experiences with appeals.

Was approved the first and ONLY time we submitted to the insurance co.

Edited August 3, 20215 yr by SummerTimeGirl

26 minutes ago, SummerTimeGirl said:

Was approved the first and ONLY time we submitted to the insurance co.

Oh, ok. My question was for people who got denials - I was wondering how the appeal process went.

Oh sorry. I thought you were asking in general of everyone.