This sounds all to familiar to me. I ran into the same run around from my surgeons office. Here is what I did. I let the surgeon know. I emailed my surgeon. Chances are he/she is not aware of the fact that things are getting dropped AND I did it all myself. I even faxed directly to my insurance company, speaking to them on several occasions. I was told that it took 10 business days for my insurance to respond, it was 24 hrs. I think the extra days are for the surgeon. I say this because I send documents to my surgeons office to submit to insurance and it took her 5 business days to resend it to my insurance company who responded in less than 24 hrs. Now, when I found this out, I had one last thing to go to insurance I sent it to my drs office, they told me (on a wed) that they would fact it next week! I wasn't going to stand for it I sent it myself and had my approval by the next morning at 906am. I am now scheduled for surgery on Tuesday. Do not stop being your biggest advocate. You will get thru this and know I have experienced exactly what you are going thru and it will pass and once you get the approval you will feel so much better. Good luck if I can do anything let me know.