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Insurance Discuss insurance topics for the gastric bypass and Lap BandŽ operations.

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Old 05-03-2008, 02:45 PM   #1 (permalink)
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Join Date: Apr 2008
Location: Palm Bay, FL
Surgeon: Dr. Muhammed Jawad
Age: 48
Posts: 22
Default Predetermination Letter

If anyone has a good predetermination letter they could send me I would really appreciate it. I go to the Dr on Wed and would like to get her to fill it out so I can find out if I am covered or just wasting my time. I was told by my insurance wls was excluded "Unless Medically Necessary" but told by my HR dept that the CPT codes I send her showed WLS is not covered but I should have my dr to submit a pretermination letter. So if anyone has one they could email me my email is:
gina0922@cfl.rr.com

Thanks!
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Old 05-05-2008, 08:24 AM   #2 (permalink)
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Location: East Coast of Florida
Surgeon: Dr. Jawad ~ Ocala
Age: 39
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Default

Did you go to the seminar that Dr Fusco gave? I gave my primary doctor his form letter and I also told my doctor that it needs to be "souped up".
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4/23/08 ~Waiting for Insurance Approval
5/09/08 ~ Denied!!!! WTF!
5/29/08 ~ Appeal Denied! (Aetna shows NO paperwork from my doctor, so I have only been denied 1 time)
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Old 05-06-2008, 10:24 PM   #3 (permalink)
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Default obesity help.com

they have sample letters for every step of the way after signing in go to my oh then scrol down then click on sample letters good luck
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