Guest guest Posted June 1, 2001 Report Share Posted June 1, 2001 sending you long distance pinches********** terri, conga-rats on your approval! i know how it feels to finally get that call saying " approved " . i started crying on the phone with the insurance lady and couldn't even speak! then as soon as i hung up the phone, dr. booth's office called and i started crying on the phone with diana his nurse! i was sooo thrilled and could hardly believe it was really gonna happen for me! my dh's jaw hit the floor when he heard. he never in a million years thought the insurance would approve this. do your happy dance!!!!! it's really happening!! hugs, mary y st.louis itching to be switchin > Hey everyone! > > Guess What?!?!?! I've been APPROVED!!! I'm still a bit numb with > shock. Not sure what to do with myself at the moment. It is still > sinking in. The determination letter for my appeal arrived today, > dated 5/29/01. My insurance Medical Director did a " thorough > examination of the pertinent information...[and] determined that the > services proposed by Dr Pomp are appropriate " . > > What is a little strange is that I spoke with my insurance case > manager today to verify that all the appeal information had been > received and was in my file, including the supportive letter from the > RNY doc. She looked on the computer and found that everything was > there, someone even had scanned in the RNY doc's letter on 5/29. I > asked when a determination might be made and she said within the next > week or two but definitely before their deadline of 6/17. Then I > asked if they call after a determination is made or do they just send > a letter. She said they usually call *and* follow up with a letter. > She never mentioned anything about the appeal being granted on the > 29th! That was the same day I faxed the RNY doc's letter... I wonder > if they even took that into account? > > OMG! WHAT am I hashing about?!?! WHO CARES??? I'm APPROVED and I > have it in WRITING!!! So now I just have to talk with at Dr > Pomp's office to get on their on-call list or see when they can > schedule me a date!!! oooooh BABY this is really getting REAL!! > > Does everyone get so gloriously giddy when it becomes real for them?? > I KNOW this is happening because so many of you sent prayers and > positive thoughts, and swung chickens and children and basically gave > SO MUCH support. I am extremely grateful to EACH AND EVERYONE OF YOU > for just being here! > > NOW, to start figuring out how to tell my family, friends and people > at work... > > Terri Hassiak > BMI 60 > http://www.obesityhelp.com/morbidobesity/profile.phtml?N=H980366398 > Appealed " Out-of-Network " Ins. Denial - AND WON!!! > email(no spaces): bunsofluff @ hotmail.com Quote Link to comment Share on other sites More sharing options...
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