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im so MAD.

Posted By Message

twobabies
Praying

Member since 7/05

9662 total posts

Name:
Mrs. Honeybee

im so MAD.

i need to get a breast mri done. i called to make the appt and they tell me i need an authorization number first. so i call to get an authorization number and they told me i need an appt first. neither side is budging, what do i do?? i need this test. i cant sit on the phone for an hour going back and forth. this is nuts. not to mention im trying to do this with an exterminator at my house, two kids running around and a barking dog. Chat Icon

Posted 4/26/07 10:22 AM
 
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Shorty
.

Member since 5/05

30390 total posts

Name:
really

Re: im so MAD.

Tell the authorization-giver that you already have an appt. I've done it many times before. Chat Icon

Make up a day....next Tuesday sounds good!

Posted 4/26/07 10:26 AM
 

LuckySV
LIF Adult

Member since 10/05

4675 total posts

Name:

Re: im so MAD.

Why are you getting the autho #? Your PCP or the doc referring you should be contacting your insurance.

Posted 4/26/07 10:33 AM
 

Christine
2nd verse same as the 1st

Member since 5/05

15287 total posts

Name:

Re: im so MAD.

Posted by Shorty

Tell the authorization-giver that you already have an appt. I've done it many times before. Chat Icon

Make up a day....next Tuesday sounds good!



Be careful with that. The insurance company may deny the claim since the authorization could be for a particular day.

I have been working with our ins. company to help someone here get paid for a CT scan that was done 2 days before the authorized one. The claim was denied because of the different date even though it was her doctor that changed the date due to an emergency situation. It's bs but 2 months later she's still being hounded for $750.00


Posted 4/26/07 10:43 AM
 

Shorty
.

Member since 5/05

30390 total posts

Name:
really

Re: im so MAD.

As long as its done AFTER the authorization date, she's fine.

Posted 4/26/07 10:44 AM
 

Christine
2nd verse same as the 1st

Member since 5/05

15287 total posts

Name:

Re: im so MAD.

Oh, that's good to know. Thanks.
I feel so bad for my co-worker since she thought it wouldnt make a difference and her doctor's office said it was ok and it isn't.

Posted 4/26/07 10:49 AM
 

LuckySV
LIF Adult

Member since 10/05

4675 total posts

Name:

Re: im so MAD.

Usually they give a date range. When our office gets referrals they usually give a range of 30-60 days for when you can have the procedure done.

Posted 4/26/07 10:50 AM
 

twobabies
Praying

Member since 7/05

9662 total posts

Name:
Mrs. Honeybee

Re: im so MAD.

i cant even lie. the woman wants to know the exact date of my appt. and since its an mri, its only done on certain days. so i cant make up a date, im not sure if i can get the appt within the 30 day time frame. and i cant get an actual authrization number without an appt date. this is ridiculous.

Posted 4/26/07 10:55 AM
 

dpli
Daylight savings :)

Member since 5/05

13973 total posts

Name:
D

Re: im so MAD.

What if you didn't have insurance? They wouldn't give you an appointment? I'd be mad too!

Posted 4/26/07 11:35 AM
 
 

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