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Hi ,

I have sample letters of appeal that I put into the files section of

this list. They do a fair job of distinguishing the DS procedure

from the RNY and point out why the DS is better for me. I used a

letter that Magruder (I think) posted at one point to

construct a letter to my PCP explaining what I needed him to write.

He, in turn, used much of my letter in his letter. They are all in

the files section under the Insurance Appeals folder. Let me know if

you cannot access it and I can email copies if you are interested.

There are no direct references listed in my letters, that I can

remember, so if they don't meet your needs, I wish you luck in

finding . Hopefully you will be successful in your appeal like

I was. Lots of work, but WELL worth it!

Terri Hassiak

BMI 60

http://www.obesityhelp.com/morbidobesity/profile.phtml?N=H980366398

Appealed " Out-of-Network " Ins. Denial - AND WON!!!

BPD/DS with Dr Pomp on 6/25/01

email(no spaces): bunsofluff @ hotmail.com

> I had asked for sample letters once before. I had got denied from

my

> insurance for the Bilo/DS and I now am constructing a letter to

mail to them

> explaining the differences between any other procedure and the DS.

Just to

> make sure that they understand, and I had a letter from a lady I

believe her

> name was , it was a wonderful letter, and she had said that I

could

> use it for info. to contruct my own. Well......I lost it! I

cannot find it

> for the life of me, I know I kept it in my computer somewhere, but

I am

> unable to locate it, so I believe I must have deleted it

unknowingly. So if

> you are out there .....(if I am right with the name) could

you send it

> my way one more time? I also would like anyone elses help as

well. I am

> printing out letters and highlighting the points in each one that I

want to

> include in my letter and then I will be constructing my own. The

one I am

> missing had several references in it and then listed at the bottom

of the

> letter in numeric order.

>

> Thanks everyone,

> in Pa.

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