I filed with my insurace bcbs nc last monday and was denied on wednesday. When my surgeon got the denial letter it stated my denial was b/c my phsycologist letter was not detailed enough and that was the only reason for the denial. My surgeon said that they will now resubmit the info with a new letter does this now mean that I will be approved b/c I have made the needed changes or can they come up with a new reason for denial even though there were no other reasons listed??

****Update****

My denial has been over turned by my insurance and I can now go on with the surgery. It was so exciting and worth all of my trouble when i went to the mailbox on Saturday and my approval letter was in there. Now I just have to schedule my surgery. Here lies my problem I really dislike my surgeon's office. The surgeon is nice but the rest of his office annoys the mess out of me. My dilemma now is do I keep going there b/c I have paid the $400 so far or do I pay more money and find a Surgeon's office I really like??

If you change surgeons, I am pretty sure that you have to go through the approval process again.

I don't believe you do as you approved for the procedure, not for the doctor.

But the new surgeon may have new requirements.

Think about what it will be like to be getting fills from this place. If the office staff is bad in a way that makes your aftercare nightmare-ish, it might be worth switching. OTOH, if the surgeon is really, really good, it might be worth putting up with them.

My surgeon's office staff is nice. But they haven't got it together. Which means a lot of rescheduled appointments and I have to do more follow-up than I like.

However, it's worth it to me because my surgeon is so good and it's not like they are horrible to deal with. If they were bitchy or mean, that would tip the balance.