Insurance & clinical info

I'm a nurse who is now trying to get precertification for surgery. I have BC/BS Federal...and I've heard how good they are about precerting hospitalization..blah blah blah. In my plan book they state that the patient, physician or hospital can call to get precert as long as you have and then they listed some very basic info...insurance id#, patient,dob, diagnosis and suggested tx, the surgeon, the hospital...thats it. So I did it myself, having had experience getting precerts for the physician i work for, i just acted on behalf of myself as the patient. They then say they have to get "clinical info" from the surgeon...i'm guessing comorbidities, ht, wt, bmi....of course, they haven't sent that to the insurance yet according to my insurance and they were told they'd get it by the 26th. I faxed them the same stuff that the surgeon has on me and they still need it. Just wondered if anyone has any insight to this "clinical information"...especially since BCBS federal quit precerting WLS and started treating it like any other surgery and is listed in my plan as a covered service. Just confused...never had to give "clinical information" to precert my patients surgeries...at least thats not what they ask for when we get precert for them.

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