Guest guest Posted June 1, 2001 Report Share Posted June 1, 2001 > 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 BIG PINCHEROOOOOOOOOOOO... Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 1, 2001 Report Share Posted June 1, 2001 LOL how appropriate to be pinched by the " dberman " > > 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 > > > > BIG PINCHEROOOOOOOOOOOO... Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 2, 2001 Report Share Posted June 2, 2001 >>> LOL how appropriate to be pinched by the " dberman " I was thinking the same thing!!! ROFLMAO!! Thank you, both! Terri Quote Link to comment Share on other sites More sharing options...
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