Appeal letter

This is a discussion on Appeal letter within the Insurance & Financing forums, part of the Main Lap-Band® Surgery Forums category; I am now in the appeals process with my insurance despite the fact that my first denial was because "somebody" ...


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Old 09-14-2004, 11:08 PM   #1
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Angry Appeal letter

I am now in the appeals process with my insurance despite the fact that my first denial was because "somebody" misplaced some key parts of my application (testing, Psych eval, etc.). Anyway, I know there's a great appeal letter on this forum somewhere, written by Alexandra I think, but I'll be darned if I can find it. Can anyone help please?

Thanks much,
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Old 09-15-2004, 12:27 AM   #2
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Hopeful, here's where Alex's appeal letter is:

Under old thread, entitled, "Just starting to explore options...help!!!" by Brando5111. Her letter is on the second page of the thread and was posted on 7/20/04 at 8:07 a.m.

Best of luck to you! Mine was originally denied, I appealed, 8 months later approved. But most people don't have to wait that long.

Have you gotten a copy of your insurance company's appeals process to follow their required protocol? Was it definitely denied or do you simply need to resubmit all the "lost" info.? If you're unsure, perhaps a call to your benefits coordinator and/or your health insurance company can clarify this for you. :)
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Old 09-18-2004, 05:18 PM   #3
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Thanks Marie,

I found the appeal letter and printed it out. Couldn't have found it without your help. I just hope I don't have to use it. I sent my insurance contact a new "chart" of my last 4 years dieting attempts and of course forgot something. For awhile I was on wellbutrin to see if it might suppress my appetite. It didn't. They wanted more detail than was on my previous submission. I haven't heard from them or the doctor's office so I'm still just waiting and praying for the hoped for answer. You guys are doing so well it just makes me all the more impatient. I "met up" with chickadee on this site who was banded by the surgeon I'm hoping to have do mine. She is so pleased with her results. Can't wait to be one of you.

Denise

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