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Psych hostage!!!

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Sistabigbones

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ok.here we go. I had my psych eval on April 23..called the drs office every few days after that trying to see if they had my letter of med necessity ready. was told daily by the secretary in the psych office that they were waiting on my stuff to come back from the transcriptionist.WTF?? So finally, monday MAY 11, i called again at which time i was told the same thing.I told the secretary that it had been 3 weeks and there was no way it was taking that long.so she went to speak with the dr about it. came back on the phone and proceeded to tell me that blue cross had denied their claim because precert was not obtained so they are not releasing my records until blue cross pays them. Now i work for the insurance company so when i made the appt, i walked her step by step on how and where to send her claim and about the need for precert.what more does she expect from me. I can't file the claim for her!! So I called the dept at bluecross that handles the claims and was told that it was denied because she did not get precert AND she submitted the claim to the wrong place(submitted it to psych instead of medical) but recall, i had already told her where to submit and everything.. So i told the lady in claims at BC all of this and she asked me if the psych eval was for clearance. i told her that it was for clearance for my WLS. She told me that she would follow up with the correct area and try to get them to overturn the denial. I have spoken with insurance everyday since then and still no decision yet. It's against the law for the dr to keep my medical record from me but the fact that she is even trying to makes me afraid of what she may write if i cause too big of a stink about the fact that it is against the law. So needless to say, i have a call in to another psych dr and hopefully i can get an appt soon so I can get this show on the road!! I work for the insurance company and am frustrated..imagine the frustration of the people that don't work day to day with this type of mess!! well, wish me luck!! As the Joss Stone song says, "i'm bruised but not broken"!!:smile2::w00t:

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ok.here we go. I had my psych eval on April 23..called the drs office every few days after that trying to see if they had my letter of med necessity ready. was told daily by the secretary in the psych office that they were waiting on my stuff to come back from the transcriptionist.WTF?? So finally, monday MAY 11, i called again at which time i was told the same thing.I told the secretary that it had been 3 weeks and there was no way it was taking that long.so she went to speak with the dr about it. came back on the phone and proceeded to tell me that blue cross had denied their claim because precert was not obtained so they are not releasing my records until blue cross pays them. Now i work for the insurance company so when i made the appt, i walked her step by step on how and where to send her claim and about the need for precert.what more does she expect from me. I can't file the claim for her!! So I called the dept at bluecross that handles the claims and was told that it was denied because she did not get precert AND she submitted the claim to the wrong place(submitted it to psych instead of medical) but recall, i had already told her where to submit and everything.. So i told the lady in claims at BC all of this and she asked me if the psych eval was for clearance. i told her that it was for clearance for my WLS. She told me that she would follow up with the correct area and try to get them to overturn the denial. I have spoken with insurance everyday since then and still no decision yet. It's against the law for the dr to keep my medical record from me but the fact that she is even trying to makes me afraid of what she may write if i cause too big of a stink about the fact that it is against the law. So needless to say, i have a call in to another psych dr and hopefully i can get an appt soon so I can get this show on the road!! I work for the insurance company and am frustrated..imagine the frustration of the people that don't work day to day with this type of mess!! well, wish me luck!! As the Joss Stone song says, "i'm bruised but not broken"!!:cursing::w00t:

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Keep the faith and keep going, you are almost there. I'm sure that things will turn out alright, and I will say prayer for you and what you are going through.

Take care!

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