Re: help needed for appeal

[Guest guest]

> HI guys

> I am having a level two appeal where I can attend and hopefully

Dr.R

> will be on the phone.

I've written about this a couple of times. I am having my Level II

appeal on June 1st. My insurance company is Healthsource now Cigna.

After speaking to the appeals representative, I felt that this still

was going to get approval because they where looking at as an

administrative appeal not a medically necessary appeal. I got

nervous about winning so last Friday I hired Walter Lindstrom. I fed-

exed all my documentation and he will be on a phone conference with

the committee on Thursday. Who is your insurance company? How did

you go about " booking " Dr. Rutledge for the phone conference. That's

a great idea. I didn't even think about it, but that should

certainly " carry some weight " . Wishing us both good luck and success.

, Denver NC. Fighting with Healthsource since 2/19.

[Guest guest]

How do you get intouch with walter Lindstrom and is he very expensive?

Marilyn C

[Guest guest]

How do you get intouch with walter Lindstrom and is he very expensive?

Marilyn C

[Guest guest]

How do you get intouch with walter Lindstrom and is he very expensive?

Marilyn C

[Guest guest]

You can find him at www.obesitylaw.com. His fee is between $350.00 and

$700.00. Not a bad price considering if you were self pay it would cost you

$14,000. If you need any more help just let me know.

Lara

[Guest guest]

,

I know what you mean about being nervous. I feel like this is my last

chance. Although I do believe you can follow up with your state ins

dept. If you believe you have been wrongfully denied. I also recieved

an agreement to have him represent me. But I worry if I'm denied I

just spent $14,000 for the surgery. I cant spend another $750. Please

let me know how it goes on the 1st. Maybe if your approved than I

might think about hiring him. I have Prudntial Ins(their terrible) I

gave up BC/BS in Jan(now I want to kick myself:)

About Dr.R I just asked him before I decided to self pay. He says he

would help but I hope he doesnt get so busy that day and forget. See

my ins.co.denied me for two reasons. They believe the doc here in NJ

does the same surgery(RNY and I have tried to explain on deaf ears)

and they say it's experimental(again 600 cases fell on deaf ears) So

I think if it explained by DR R it might carry more weight(no pun

intended:) )

Well again I wish you all the luck and keep me posted.

Jen