You have done your research on gastric bypass surgery, and determined whether your insurance carrier will pay for the procedure. You have the CPT/ICD-9 codes memorized, and youre on a first-name basis with the member services rep at the insurance company. You have prepared the documentation required by your carrier, and the big day is finally here: Its time to submit all this information with a request for pre-approval of your gastric bypass procedure.
Increase Your Chances of Insurance Success
The checklist below can help you ensure you have obtained everything needed to increase your chances of securing preauthorizing for weight loss surgery from your insurance carrier:
1.A letter of medical necessity from your primary care physician or a medical specialist recommending you for weight loss surgery
2.Doctors records of office visits documenting your history of obesity (this should include documentation supporting The National Institute of Health guidelines of severe and morbid obesity)
3.A well-documented list of any serious health issues, such as hypertension or diabetes, considered a direct result of severe or morbid obesity
4.A...
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