Dr. Rutledge denied as out of network

[Guest guest]

just got word that my insurance company, communitycare hmo of

oklahoma, has denied my referral to dr. rutledge, saying he is out of

network. (that doesn't mean they pay reduced costs, means they won't

pay anything.) they had already approved my for open RNY with a

doctor here in tulsa. anyone have luck overturning this kind of

denial? i had submitted letter outlining medical benefits and

differences between the two procedures (including cost), the big

letter from dr. rutledge (i hand delivered a copy along with my

letter to make sur they had on hand) and referral from my doctor. so

i am not sure what else i can present on an appeal to change their

minds.

anyone else have luck overturning this type of denial? any advice?