Insurance drama! and the wait continues...

May 06, 2012

Hey everyone,

I hope everyone is doing well..

I just wanted to give an update, on Friday I called my surgeons office to find out if they received the approval letter yet with both codes showing approved, they advised they didn't.
I called the insurance company and spoke with a representative to ask if they could fax over the approval letter. He then checked in the system and stated the 2nd procedure code is still under review and my physicians office needs to call them! WTF!? I had been told by 3 people previously that both procedures had been approved and I told him this and he just said he didn't know why they said that. I called the surgeons office and asked for them to call.
The person I spoke with at the insurance called me later on and advised that he spoke with his supervisor and that in fact both procedures were approved. At that point I was frustrated and just gave up for the day.
Luckily, my surgeons office ended up calling and was told it was approved and was told that the approval letter would be faxed, the surgeons office said a tentative surgery date would be May 18th..but I told them that was too soon so I would like to wait until June. Hopefully they received the approval letter and will be calling me on Tuesday to schedule a definite date. I did end up receiving the denial letter for the sleeve on Friday 5/4 in the mail, this was the decision that was made on 5/1. They supposedly approved the sleeve officially on 5/2 but I have yet to see the letter. I thought I would have received in the mail by now. I will keep everyone posted on what happens.
I hope everyone had a great weekend and has a great week ahead!! Thanks for reading.

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