Denial after peer to peer review

peeches35
on 12/1/11 2:12 am
VSG on 04/03/12
Ok just spoke to the surgeon office i got denied after peer to peer review so my surgeon going to appeal it they said i dont have to do anything feel so help less so I want to reguest my 5 year weight and blood presure from my gyn. I also called my insurance company and they sending me out papers on how to appeal. so I am wonder if my doc is appeal if i should also send in letters on appeal.

 SO INLOVE WITH MY SELF

    
OldMedic
on 12/1/11 3:35 am - Alvaton, KY
YES, you should also appeal this denial.

YOU are your own best advocate, do NOT depend on someone else to carry the ball for YOU!

A former Army Medic (1959-1969), Registered Nurse (1969-2000), College Instructor (1984-1989) and a retired Rehabilitation Counselor.  I am also a dual citizen of the USA and Canada.

High Weight 412 lbs.                    Date of Surgery 360.5                                 Present  170 lbs   

        
peeches35
on 12/1/11 3:47 am
VSG on 04/03/12
thank you so much for the advice

 SO INLOVE WITH MY SELF

    
bigmama3
on 12/1/11 3:37 am

OMG--this happened to me with Dr. Roslin (same practice as Yatco).  I didn't give up--went for another round of appeals and then went to NY State for an outside appeal.  Finally won...took almost 9 months but it was worth it.

    

CW - 125 (20 lbs. below goal)

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