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Hi all! I had a tummy tuck in October after a 90 pound weight loss. My dr. was adamant that it was purely cosmetic but agreed to send in a pre authorization to insurance. I received the denial a few days after I had the surgery (I paid out of pocket as I was pretty sure I would have to anyway). I decided to appeal the denial with insurance and finally in January I was approved for the panniculectomy portion of the surgery. Unfortunately in that time my dr. left the practice he was in and opened his own practice. If insurance wouldn't have taken almost 3 months to review my appeal my situation wouldn't be what it is today and that's why I need help.

The old practice will not file a claim on my behalf because the dr. is no longer there. They DID provide me with some records and a copy of the bill. The new practice is not set up for insurance so the dr. won't help me either. :( I'm at my wits end and am now attempting to file the claim myself. But, having a problem filling out the claim form (a typical Form 1500, it's red and white). Most of the form is self explanatory but I have no idea what to put in for a diagnosis or nature of illness code. I thought I would google weight loss but the only code I can find for that is unexplained weight loss, and that doesn't fit. I'm afraid to leave it blank. Also, there was no referring provider so not sure if I can leave that blank or not. And, date of current illness? Would I put the same date as the actual surgery? There is another spot for all that so I think not but there is no "current illness".

Is there anyone out there that has any insurance or medical office knowledge that could help me? I would really appreciate it!!!!

Good Morning,

i was wondering as a male who has lost lots of weight but now in very good physical condition, my only problem is loose skin hanging below the belly button, after doing alot of research, could i just do a mini tuck with no muscle repair?

could i get an estimate how long would i need to recover? how long off work?

thanks,

hey can you please tell me exact months of swelling?

I had RNY in November 2017 and am down an amazing 190 pounds. It is time to start investigating skin removal. I have pretty much decided that a LBL is the way to go for me. Has anyone used a plastic surgeon in OKC or Tulsa? Can you share your experience with me and/or give me some recommendations. I don't want to go to Mexico -- have had 2 post op infections in the past and am afraid.

Thanks in advance!

Pam