Comments on: What to send in when you dr submits claim.? http://www.obesity-surgery.bseulf.org/2006/03/30/what-to-send-in-when-you-dr-submits-claim/ Fri, 16 May 2008 23:36:23 +0000 http://wordpress.org/?v=2.2.1 By: Jamey Lancaster http://www.obesity-surgery.bseulf.org/2006/03/30/what-to-send-in-when-you-dr-submits-claim/#comment-3300 Jamey Lancaster Thu, 30 Mar 2006 14:07:07 +0000 http://www.obesity-surgery.bseulf.org/2006/03/30/what-to-send-in-when-you-dr-submits-claim/#comment-3300 Interesting that the customer service rep didn't know either. It's possible that your surgeon will be able to get the information. I'd have his insurance person call to find out what is required. If you go to www.obesityhelp.com , you will find a list of the kinds of things that are required. Usually it has to be letter/s of medical necessity, supervised weight loss program, co-morbidities (covered in the letter), weight over 100 lbs overweight, and the surgeon may require a sleep test (for apnea), maybe a psyc eval, sometimes a visit or two to a support group, etc. But all these things the surgeon's office will tell you. BC/BS wanted a thyroid test (I guess to be sure the issue wasn't something that might go away if someone took thyroid.) Good luck! Pam Interesting that the customer service rep didn’t know either. It’s possible
that your surgeon will be able to get the information. I’d have his insurance
person call to find out what is required. If you go to www.obesityhelp.com ,
you will find a list of the kinds of things that are required. Usually it has
to be letter/s of medical necessity, supervised weight loss program,
co-morbidities (covered in the letter), weight over 100 lbs overweight, and
the surgeon may require a sleep test (for apnea), maybe a psyc eval, sometimes
a visit or two to a support group, etc. But all these things the surgeon’s
office will tell you. BC/BS wanted a thyroid test (I guess to be sure the
issue wasn’t something that might go away if someone took thyroid.)

Good luck!
Pam

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