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waterspout4
My loves
Member since 5/06 19150 total posts
Name:
Kelly
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Un-freaking-believable - concerning the next surgeries
After everything was set in place for my 5th postpartum surgery on Tuesday, it was DENIED!!!!
Insurance had given the go ahead, with an authorization number and I scurried to find people to cover my shifts. I was in the process of finding help to watch DS. Then the call came this afternoon that the surgery was denied.
This doctor is not on my current insurance plan. But since he had done the first surgeries, insurance was allowing him to continue coverage. (Work changed insurance on April 1st.) Now they freaking deny it.
They said I can find another surgeon under their policy.   
So now I have to go find another surgeon and go through all the testing again. I had the best!!!!!! And he wasn't finished!!!!!! I am beyond mad.
Thanks for letting me vent.
Message edited 6/26/2009 3:22:58 PM.
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Posted 6/26/09 3:22 PM  |
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Long Island Weddings
Long Island's Largest Bridal Resource |
clmj2
cant believe hes gone
Member since 3/07 4407 total posts
Name:
Candice
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Re: Un-freaking-believable - concerning the next surgeries
sorry i know how hard it is to find a good surgeon that actually KNOWS how to handle the problems you are dealing with.
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| Posted 6/26/09 3:26 PM |
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Bops
My 3 wishes
Member since 12/07 13625 total posts
Name:
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Re: Un-freaking-believable - concerning the next surgeries
I am so upset for you Kelly , that is just plain wrong !
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| Posted 6/26/09 3:28 PM |
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LSP2005
Bunny kisses are so cute!
Member since 5/05 19461 total posts
Name:
L
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Re: Un-freaking-believable - concerning the next surgeries
I would appeal in writing and explain how it will cost them more for the additional testing etc.
Message edited 6/26/2009 3:31:39 PM.
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| Posted 6/26/09 3:29 PM |
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KartveliT
...
Member since 1/08 8363 total posts
Name:
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Re: Un-freaking-believable - concerning the next surgeries
OMG , I don't even know what to say. I'm so sorry
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| Posted 6/26/09 3:35 PM |
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nrthshgrl
It goes fast. Pay attention.
Member since 7/05 57538 total posts
Name:
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Re: Un-freaking-believable - concerning the next surgeries
Posted by LSP2005
I would appeal in writing and explain how it will cost them more for the additional testing etc.
I agree. It's definitely worth a shot. I've appealed something that was denied under the same premise - that it would cost them thousands of dollars more in denying it, not to mention put me through unnecessary testing again.
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| Posted 6/26/09 3:47 PM |
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DancinBarefoot
06ers Rock!!
Member since 1/07 9537 total posts
Name:
The One My Mother Gave Me ;-)
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Re: Un-freaking-believable - concerning the next surgeries
Posted by nrthshgrl
Posted by LSP2005
I would appeal in writing and explain how it will cost them more for the additional testing etc.
I agree. It's definitely worth a shot. I've appealed something that was denied under the same premise - that it would cost them thousands of dollars more in denying it, not to mention put me through unnecessary testing again.
I agree with this as well Kelly. The insurance company MUST have an appeal procedure in place.
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| Posted 6/26/09 4:23 PM |
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Re: Un-freaking-believable - concerning the next surgeries
Oh my. Well, there are 2 ways to look at this.
If at first you don't succeed, appeal, appeal, appeal. There should be state mandated procedures in place.
or
Decide to pick your battles. If you can find someone else, great.
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| Posted 6/26/09 4:40 PM |
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