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General Gastric Bypass Discussions Discuss anything related to the gastric bypass surgery.

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Old 05-18-2006, 08:57 AM   #1 (permalink)
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Smile Can NYONE HELP WITH APPEAL LETTER, PLEASE

i WOULD BE VERY GREATFUL OF ANY OF YOU COUD SEND ME COPIES OF APPEAL LETTERS (ON PRIVATE MESSAGE IF YOU WISH). i HAVE BEEN TURNED DOWN FROM EVEN HAVING THE CONSULTATION WITH dR. cALLERY.
I WANT TO MAKE SOME POWAERFUL STATEMENTS THAT WILL BE HEARD. THIS IS ALL VERY UNFAIR AS I DO MEET THE CRITERIA THROUGH MY INSURANCE.i THEY ARE JUST PLAYING GAMES. THIS IS ALL VERY DISTRESSING. THANKS SO MUCH, JESSICA
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Old 05-18-2006, 09:07 AM   #2 (permalink)
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I do not have such a letter Jessica, but just wanted to encourage you in your plight to keep on fighting, and wanted to wish you the best of luck. Hang in there sweetie!
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Old 05-18-2006, 09:37 AM   #3 (permalink)
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Jessica,

Talk to Denise...she went through a horrendous appeals process and she has some really good info for you.

I tried...twice to appeal...but was not successful, so I don't want to discourage you with what I have.

Fight....FIGHT...FIGHT!
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Old 05-18-2006, 09:42 AM   #4 (permalink)
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i believe obesityhelp.com might have some sample appeal letters. good luck!
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Old 05-18-2006, 10:23 AM   #5 (permalink)
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Hey Jessica, I am Denise. Here is the link I usually share with everyone who are in the process of appealing. If you have any questions please feel free to contact me and Iwill help you as much as I can.
http://www.geocities.com/wls_denise/1stletter.html
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Old 05-18-2006, 10:26 AM   #6 (permalink)
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Thumbs up You'r on A Great Road

Quote:
Originally Posted by Tawanda
Jessica,

Talk to Denise...she went through a horrendous appeals process and she has some really good info for you.

I tried...twice to appeal...but was not successful, so I don't want to discourage you with what I have.

Fight....FIGHT...FIGHT!

Twanda even though the appeal didn't go good, you have been doing so WONDERFUL on your own. You are still a fighter. Your a shinning star .
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Old 05-18-2006, 12:14 PM   #7 (permalink)
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Hi, I dont have an appeal letter , but I just wanted to take the time to wish you luck as well. Hang in there hun! I wish you the best ! {{{{hugs}}}}
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Old 05-18-2006, 12:35 PM   #8 (permalink)
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FROM WHAT I UNDERSTAND YOUR INSURANCE CAN DENY THE SURGERY BUT THE CONSULT SHOULD NOT BE DENIED. IF YOU BROUGHT IN ALL OF THE NECESSARY DOCUMENTATION TO YOUR PCP THEY SHOULD HAVE DICTATED A LETTER EXPLAINING THE NECESSITY OF THE VISIT. HANG IN THERE PRESSURE YOU PCP,INS AND THE IPA (medical group) THAT YOU ARE WITH. REMEMBER THE SQUEEKY WHEEL GETS THE OIL!!!!

KEEP YOUR CHIN UP AND KEEP US POSTED!

SHANNON
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Old 05-18-2006, 12:45 PM   #9 (permalink)
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Jessilyn!

First, you have to push and push and push to the maximum. I hear lots of good stories and outcomes. You have to remember that Insurance Companies exist because of the money, not your health.. with that in mind.... start your fight !!

I occasionally write about that in my blog, specifically here:

http://www.themorbidme.com/insurance_related/index.html

There is also a book written by Craig Thompson, called Weight Loss Surgery Insurance Secrets you can find here.

Good luch !! and don't forgett to FIGHT !
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Old 05-18-2006, 01:39 PM   #10 (permalink)
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Smile Thank ykoiu Denise and everyone else.

You have all been such help and I will put to use what yoiu have shared with me this weekend when I write up my appeal. I can't thank you all enough on this website for your willingness to share your selves the way youu do. I only hope I can be of benefit to others as well on my journey.
Thanks,
Jessica
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