We initiated a level one appeal and in < 2 weeks received approval for the Dexcom Seven System! We had pre-purchased the system and were already using it -- I just didn't want to wait anymore. We were told the process would be 30 days for first appeal and another month for 2nd appeal... We've been using the system about a month and it is quite helpful. Maddie has fairly good control but has hypo unawareness. That might have been the angle. If anyone wants a copy of my appeal letter, let me know! Today is a GOOD DAY!