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Re: Digest Number 4436

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Hi Chris: I have BC of CA PPO. My first denial was for any type of WLS.

I have a BM of over 50 so they should have OKed something. 2nd denial

OKed WLS but denied DS. They said medical necessity of a maladsorptive

procedure as requested was not established to offset the increased risk.

I went ahead and self paid but contacted Walter Lundstorm to look into

the matter. We'll see what happens. I heard BC was OKing the DS right

before June. Hope this helps. Jo Ann M from CA

Dr. K - 7/27/01

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