I was denied my by HMO so now my surgoen have to have a peer to peer meeting with my HMO to explain why my surgery is medically necessary since my HMO said it was not. anyone ever been denied and had to do the same thing
I was. A peer to peer was the best. I got the denial letter my surgeon set up a peer to peer the same day and i was approved within the hour and had surgery the following week. They have a high approval rating.