Re: SHEILAAAAA!!!--- W. gave me the best news!

October 14, 2000

Sheila... this is fabulous! Can't you hear me cheering from all the way

over here?

kris

~~~~~~~~~~~~~~~~~

Aniceto Baltasar, MD

Alcoy, SPAIN

July 23, 1999 - self pay

Open BPD/DS

60.35 inches gone

140+ lbs gone to the wind

La vita e bella!

W. gave me the best news!

> Hi everyone,

> I just wanted to tell you that after a very disheartening phone

> conversation with BCBS and listening to the woman tell me that it

> wasn't in letter form yet but that it was her understanding that even

> after considering my appeal that BCBS intended to " stand behind their

> original denial " for my DS...the most amazing thing happened. I lost

> my temper a bit and while I was still waiting for W. to confirm

> which code she had approved by the same company...I gambled that it

> was the 43847 code and it may have paid off. The ins. rep looked up

> her surgical record and there it was that big beautiful 43847 code

> staring her in the face.....she of course started stammering how

> there must have been some special reason why got that code

> approved etc. and I proceeded to say you cannot discriminate between

> individuals who both have a policy that covers the surgical treatment

> of morbid obesity. I told her that I would take it to court in a

> heartbeat now that I had confirmed with her another party who had

> been covered for this code. She said she would get back to me. This

> has to work ya'll, it just has to...this is the gem I have been

> unsuccessfully looking for such a long time. I had so many come

> forward who had BCBS of MI but they all had the 43846 code which

> couldn't help me... was the one.....the only one to date with my

> ins. and the correct code. herself confirmed the coding this

> evening. I owe her big time! Please keep me in your prayers.

>

> Thanks,

> Sheila

>

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