insurance denial
Has anyone had a problem with insurance denying a pre-authorization?
I have blue cross/blue shield hmo and they denied my claim because
there was not enough medically supervised diet info. So now I am
going back and getting letters from my primary Dr. and professionals
that have treated me, such as dieticians, chiropracter and
therapist. I’m hoping this will be sufficient. Anyone have any
experience getting a denial overturned?? According to my surgeon’s
office, this seems to be the practice for BC/BS to deny the claim and
then have to submit more information to have it appealed. According
to my surgeon’s office I had all the info needed, maybe they should
have helped me prepare for this a little better as well. Oh, and I
am a revision patient, had a gastroplasty in 1989..anyone else in the
same boat? Would love to hear how bypass if different.