Question:
Should I appeal now or wait?

My first surgeon consult was on August 9, and on that same day I received a letter of denial saying I did not meet the criteria. (I guess they based it on my PCP letter of recommendation) So should I go ahead and send my appeal letter, or wait till the surgeon sends her infromation and I hear back from the insurance company regarding her request.    — Lynda T. (posted on August 20, 2001)


August 20, 2001
I would appeal now because you've already been denied. You can include a letter from your surgeon; but, the insurer is looking for documentation of medical necessity from your pcp, they aren't terribly interested in what the surgeon is saying.
   — [Anonymous]

August 20, 2001
Appeal now, you only have a certain amount of time to do it in and then you'll have to start all over again. I think my insurance company gave me 60 days.
   — [Anonymous]




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