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Denied, please help!!

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OK all,

I just got a rejection from Brown and Toland for Rabkin. They said the

Medical director turned it down and I need to try " Dr. saxon's Modified

fast diet?? " What this about? I qualify under the NIH, I have BMI of 62

and have comorbids.

The rep told me that I needed to talk to my dr's office about the notes

that were sent, apparently it was not enough !! What was on there was

Optifast, weight watchers, all kinds of stuff....I do have family history;

unfortunately that was not put on the LOMN, but when I asked about it, the

office said that wouldn't matter ...?

Is this just a stall by B & T? WHat do I do next? I was told I would get

word back after appeal at 72 hours...but now I have to start the damn

appeal process. Even though I've saved info, I feel frozen and don't know

what to do. I have to find out how to appeal from Rabkin's office, I guess.

Anyone else have this experience?? Please let me know!!

Hawkins

Preop / BMI 60 /

240 to lose / 150 lbs bound!

Appealing authorization 10-17

Rabkin in SF

****** Hoping soon for a switcheroo! *******

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