Question:
can someone who appealed with bsbs Fl ppo please tell me?

where do you send the appeal to?I sent out my appeal yesterday I sent it to the address it has on back of explaination of benefits it has an address on there that says ppo appeal dept. so that is where I sent it my surgeons office told me I have to send the appeal on my own I just hope I sent it to the right place and if anyone knows is it Ok. to send the appeal myself eventhough my surgeon sent the first request for approval I am just alittle nervouse thank you for any help...    — marie M. (posted on April 29, 2003)


April 29, 2003
Hello! I have BC/BS of FL Health Options (HMO). I, too, was denied the first time. You have to send off the appeal.. your Surgeon's office is not responsible for that. I guess the Insurance company wants it to come from you. I'm not sure on the address... I faxed my appeal in. If your unsure, call the Member Services number provided on your Insurance card and verify the address you sent it to. You only have a limited amount of days to appeal, so you want to make sure they'll get it! Oh, and don't be surprised, once they get it, they will call you to set up either a face to face or teleconference appeal. I chose the teleconference, and an hour before it, they called and said I was approved!! I had my surgery 10 weeks ago and I've lost 61 pounds. Good luck!!! :)
   — Deena C.

April 29, 2003
Appeals should go to PO BOX 1798 Jacksonville, Florida 32231 ATT: PPO MEMBER APPEALS
   — Sharon H.




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