06-13-2009, 06:15 AM
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#3 (permalink)
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TT Master
Join Date: Jan 2009 |
Location: Orlando, Florida |
Surgeon: Dr. Garth Davis |
Start Weight: 384 |
Current Weight: 280 |
Goal Weight: 150 |
Surgery Date: 07/29/2009 |
Age: 35 |
Posts: 2,700 |
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Quote:
Originally Posted by Lark
So to my utter despair, Cigna rejected my claim today stating that I failed to complete the 6-month of physician-supervised weight management.
The person from pre-certification told me that the notes said that I had a gap between November '08 and February '09. I went November 22nd, December 31st then February 3rd.
This is my question - does Cigna require you have weight loss each visit? Because December was my only month of gain.
This could be insurance being insurance as I have been warned that Cigna claims they don't get items when they were sent to them.
Someone please offer some guidance as I am furiously upset tonight.
Thanks.
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I would contact CIGNA back and advised that they take a look at those months again because there is no gap in months. Go back to your surgeon office and see what they sent in to see if they can locate any not of the sort. Something has to be a mistake here.
If they would have denied you because of the weight gain, then they would have told you that was the reason. I would call the surgeon office first thing Monday morning.
__________________
"Don't you know that you yourselves are God's temple and that God's Spirit lives in you?"1 Corinthians 3:16
I am on a journey to a new beginning!!......Just like a SNAIL, "Slow and Steady wins the race"
384/ 344/ 280/ 150
Highest/ DOS/ Current/ Goal
RNY LAP 07/29/09
"Over BMI 50 Club Member #1"
"Scale Whore #66""Made it to Twoterville on 10/22/2009" Christmas Challenge 265 "Made it to the "Century Club" (-102) on 11/17/2009"
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