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Old 09-29-2008, 10:25 AM   #10 (permalink)
cali4ialuv
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Join Date: Jun 2004
Location: San Diego, CA
Age: 38
Posts: 77
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Default Thanks for appeal letters

Thanks a million for the sample appeal letters. I actually submitted an appeal to Pacificare - Sharp Community Medical Group, for the denial of panni removal. (Tummy tuck) The letter indicated that I didn't provide sufficient information regarding how my condition interferes with activities of daily living. I thought this was a joke. They have six months of medical documentation from my PCP indicating treatment, a actual letter from my PCP recommending a tummy tuck, copies of prescriptions, photo's, and a letter from me. So, I shot off another letter yesterday, using some of the things posted in the sample appeal letter. Thanks again! Will post the outcome.
__________________
Tina
June 30, 2003
LAP/RNY Dr. Callery

Surgery Date 294
Tummy tuck January 30, 2009
Current 152
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