My Personal Appeal to BCBS
For my 300th post today, I want to share with you all my appeal to my insurance company, which I will be sending to them today: To whom it may concern: Please accept this letter as supporting evidence for an appeal to BCBSNC’s decision to deny coverage for revision of bariatric surgery from my current Lap Band to roux en Y Gastric Bypass. It is my understanding, based on your letter of denial dated 02June2014 (initial submission) and again 22July2014 (peer-to-peer review between Dr. Jin Yoo and Dr. Lawrence Woo), that this procedure has been denied because “there is no perioperative or late complication of previous bariatric surgery per coverage policy AND there is insufficient serial records that there has been post-operative compliance with diet after the previous bariatric procedure, 9/17/12”. In summary, I refute that there has been no perioperative or late complication of previous bariatric surgery, as I have been diagnosed and received treatment for GERD...