Guest guest Posted December 12, 2001 Report Share Posted December 12, 2001 It is my understanding that BC/BS considers the DS to be just one more gastrectomy WLS and pays it under that appumption. Generally the surgeon does not go into extensive detail about m,alabsorption issues since the distal RNY has these also and is fully covered. My observation is that BC/BS (and other insurance cos) are there to make money, to attempt to deny claims, and to put the max barriers in your way. I consider providing them with unrequested inofrmation about the procedure to be an open invitation to them to deny your claim. Dr Welker bills BC/BS and they generally psy, AFAIK. Not sure why you are having to do all this detailed info with them.. Sounds like an invitation to disaster to me. /Seattle paid for by Fed BC/BS 1/5/01 Dr Welker > Boy, oh boy! I decided to try to get some answers from Blue Cross > today. (I've received my first letter of denial and have not yet sent an > appeal--been really busy!!) Anyway, here's what I wanted to find out: > 1) My " denial " letter didn't exactly say they would NOT pay for the > DS. So, I wanted to talk to someone about the letter. 2) Would Blue Quote Link to comment Share on other sites More sharing options...
Recommended Posts
Join the conversation
You are posting as a guest. If you have an account, sign in now to post with your account.
Note: Your post will require moderator approval before it will be visible.