Just got my denial from Molina. They said I did not meet the guide lines. What? They said I did not have any co-morbidities, well, my bmi was over 40 and I have high blood pressure, high cholesterol, high blood sugar, etc. They also said I never had any pulmonary studies done when they had to pre auth the Dr. who did my pulmonary studies!!!!! I actually had all of the material sent in twice. Once via the mail and once via fax with a confirmation. What a bunch of garbage, I tell ya. I have been going round and round with all of this since January and would really like to have it over all ready. Anyone else dealt with Midwest Bariatrics and Molina?
on 6/9/17 5:15 pm
Perhaps your surgeons office could help you. Re submit . I am so sorry but don't give up