appeal letter help
Didn't have to use one myself but here's some help for you on this site
http://www.obesityhelp.com/morbidobesity/information/wlsjour ney/insurance+trouble.php
http://www.obesityhelp.com/morbidobesity/information/wlsjour ney/insurance+trouble.php
Was it denied on the basis of the VSG still being an investigational surgery? If so, feel free to tweak my appeal letter (yes, I won) to suit your own needs.
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I have a TON of stuff--from letter to documentation that it is no longer investigational. I am a band to sleeve revision. I never actually had to send in the information because time was on my side (my dr. tried to get approval in Jan--denied and again in March--approved). If you pm me your email, I will send everything to you.
Jenn
Jenn
Sorry, I must have been typing up my last post when you were adding your second one. I don't have any insight on a band-to-sleeve revision appeal, but hopefully someone else does. Good luck!
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I do not have my letter posted, but here is some additional information that I found proving that VSG is acceptable procedure.
It is a forum topic I posted
http://www.obesityhelp.com/forums/VSG/4393702/More-research- information-for-VSG/#36321965
If you do a google seach on the titles of the documents you will find theinformation.
I hope it helps.
It is a forum topic I posted
http://www.obesityhelp.com/forums/VSG/4393702/More-research- information-for-VSG/#36321965
If you do a google seach on the titles of the documents you will find theinformation.
I hope it helps.