Setbacks?!

Got another letter last week, not necessarily a denial, but stating that more information is needed for the referral. I guess the 6 months of nutrition classes was not sent with the referral?!  I am beginning to think my primary doctor's office is really lacking and incompetent.  So, I call them to ask about it and the woman in charge of the referrals is fuming, as she received another denial, based on my BMI.  She said it was listed at 35 this time.  What the Heck?!  It isn't too hard to figure out.  Based on my height/weight, my BMI is 41.  Doesn't take a genius.  She said she would fix it and get back to me...ugh!