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DENIED AFTER SURGERY

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Hi All,

I have BCBS Federal insurance who does not pre-authorize prior to

surgery.(Sometimes) In our plan book it states " Gastric bypass

surgery or gastric stapling procedures for morbid obesity " are

covered.

I know of at least 18 patients w/ the same insurance that they have

paid for the DS for. My surgery was initially billed under an

unlisted code and the op notes were requested. They denied my surgery

saying it was experimental and investigational. I finally got my Dr's

office to send in a corrected rebill using 43633 and 43847 but the

damage was already done and I found out yesterday that they denied it

again.

I now have 2 levels of appeal. To the Oregon BCBS Fed and then to

Wash DC. Office of Personnel Mgmt.

2 Questions for y'all. 1. Is our surgery a " gastric bypass or gastric

stapling procedure " ? 2.Do they have to pay for my DS if they paid for

other MO patients? (historical precedent?)

As you can well imagine I'm terrified at this stage. The thought of

30k in bills is just so overwhelming.

Any thoughts or advice. Thanks.

Lap LG/DS

1/23/01 Dr

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