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05-18-2006, 08:57 AM
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#1 (permalink)
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Member
Join Date: Mar 2006 |
Location: I live in Escondido, California |
Posts: 59 |
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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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05-18-2006, 09:07 AM
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#2 (permalink)
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TT Master
Join Date: Nov 2005 |
Location: Virginia Beach, VA |
Surgeon: Stanley Klein |
Posts: 7,812 |
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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!
__________________
Blessings,
Whitney
272/243/ 123.5/135
Highest/Pre-op/ Current/Goal
GBS 3/7/06
Dr. Stanley Klein -Torrance, CA
Hernia Repair/Tummy Tuck 3/9/07!!!!
148.5 pounds and 64.5 inches gone forever!!
GOAL REACHED 2/6/07!!!
Ducksack Member#3! And TTBear Blondbear!!
www.myspace.com/horsegalwhit
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05-18-2006, 09:37 AM
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#3 (permalink)
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Senior Member
Join Date: Dec 2005 |
Location: Idaho |
Age: 49 |
Posts: 530 |
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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!
__________________
"If you're gonna walk on thin ice, you might as well dance...!!"
10/05-315/current-235/goal-185
5'10"
Insurance Denied 2nd Appeal-12/05
22 months of the "Tawanda Diet and Exercise Plan"
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05-18-2006, 09:42 AM
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#4 (permalink)
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Member
Join Date: Dec 2005 |
Posts: 91 |
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i believe obesityhelp.com might have some sample appeal letters. good luck!
__________________
245/ 143 / 145 / 125
feb now docs goal my goal
102 lbs lost since feb 22, 2006
past my doctors goal!!!!
18 lbs till my goal!!!!
surgery: march 8, 2006
lap. rny
Dr. Michael Bono
Hazleton General Hospital
_________________________
ON THE LOSING SIDE!!!
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05-18-2006, 10:23 AM
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#5 (permalink)
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TT Master
Join Date: Feb 2005 |
Location: Southbay area |
Surgeon: Dr. Mueller |
Age: 31 |
Posts: 4,960 |
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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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05-18-2006, 10:26 AM
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#6 (permalink)
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TT Master
Join Date: Feb 2005 |
Location: Southbay area |
Surgeon: Dr. Mueller |
Age: 31 |
Posts: 4,960 |
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You'r on A Great Road
Quote:
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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!
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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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05-18-2006, 12:14 PM
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#7 (permalink)
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Senior Member
Join Date: Feb 2006 |
Location: Ohio |
Age: 39 |
Posts: 411 |
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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}}}}
__________________
Laproscopic RNY June 6, 2006
276 / 133 / 130 / REACHED ! !
Pre-op / Current / Goal / Dr. Goal
Hernia Repairs, skin removal & Tummy tuck
3 December, 2008
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05-18-2006, 12:35 PM
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#8 (permalink)
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Member
Join Date: Mar 2006 |
Location: CARLSBAD |
Posts: 87 |
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Denial
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
__________________
250/168 /130
pre / now/ GOAL woo hoooooo!!!!!!!!!!!
SURGERY 6/21/06! DR. Callery
Heres to the beginning of my journey!!!!
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05-18-2006, 01:39 PM
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#10 (permalink)
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Member
Join Date: Mar 2006 |
Location: I live in Escondido, California |
Posts: 59 |
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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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