Thread: Denial Letter
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Old 06-11-2004, 05:44 AM   #1 (permalink)
TONYAGASTON
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Join Date: May 2004
Location: Santee
Age: 40
Posts: 16
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Default Denial Letter

Hello everyone. Got my letter from Pacificare. I was denied. They denied it because because there was no documentation of "failed less invasive methods of weight loss" and the fact that it was not noted how I was at a high risk of developing obesity-associated morbidity or mortality". Less invasive would be....low calorie dieting, increased physical activity, behavioral therapy and pharmacotherapy. I am going to appeal, but not quite sure of how my letter should read. I have been on every diet under the sun. I have been put on topamax to help. I have been to a nutrionist(sp?) I have increased my exercise to help in my weight loss. I even push myself to do my exercise some days, because of constant pain I am on vicodan extra strength to help me. Any pointers would be appreciated. I will be thinking about how to word my letter this weekend, and will write it sunday nite and sending it out Monday. Another question.....should I still go to the educational seminar that was scheduled for me on Tuesday?

thanks
Tonya
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