Catherine Gray

On December 18, my surgeon's office sent my paperwork to BCBS fir approval. Wrll denial, so I can get the approval through my secondary. Anyways, I started calling the day after to makr sure they got it. Well 7 business days later they still dont have it. They said it only takes a day or 2 to receive. My question is should I call the doctors office back and keep hounding them? I called twice, and the lady said she sent it. She also said that she needs the denial letter from primary. But when I talk to secondary, they said all they have to do is do the surgery, bill them and they will pay. My secondary is Horizon NJ health. Anyadvice? I dont want to be a nuisance but I also dont want to procrastinate.

Ive been waiting since 12/23 to find out. After several mis-communications with BCBS ( who might I add is horrible! !!!), I finally was told today im approved!!!! Surgery is 2/24/15!!!! I start my diet nect Tuesday!

Good luck! Mine is the 24th!

I'll buy from you

DandeeD, awesome! I love them both. They have an amazing demeanor about them! Im waiting on insurance approval from my 2msecondary. I should be having surgery in about 2 weeks!

Thats exactly what I have. Everything is in writing.Im in nj, thats how my particular insurance works. Thanks for the tips too! I've been speaking with insurance for several months prior.I had it down to a science. For some reason Horizon NJ will does not require a pre-auth

Finally after 1 month! I will be gettir my surgery date. Office manager was blown away byb the unprofessional attitude of the surgical scheduler! She said being as though I got denied by primary, secondars will not pre authorize. All I do is submit the eob from primary with claim and secondary pays the entire bill. Woooo hoooo! Always advocate for yourself. Never take no for an answer.

Spoke with my surgical dept. And she basically told me se has no clue whats going on. Im beyond irritated! Its been a month as of tomorrow since my paperwork. I cant believe their office is handleing my surgery this way. If it wasn't for the fact that I did everything thorough them, I would be switching to a new office. I have less then 2 weeks before im bk in school to finish my last semester as a graduate student. I was told I'd have my surgery well before then. Ahhhhhhh. Im ready to pull my hair out. I don't want to seem like a bitch but jeez.

Can you believe im stilk waiting too. Ive been calling my secondary everyday and my doctors have not reacehw out to them. I am on a tight deadline. Im calling my drs in a fee. Praying we get answers soon

Congrats! ! I know your so nervous! Praying for a safe surgery and speedy recovery!

Any news OP?? Bcbs Finally got my bbc.co info, and denied as planned. I am now waiting on secondary!

I have BCBS NJ. I Don't have any specific information for your state but I was required to do 6 months supervie diet, psych, pulmonary and gi clearance, as well as routine blood work and ekg. Im am waitw for approval now. I have 2 insurances so im wautingvon approval through the second. Bestb of luck!

I have horizon NJ as well. I saw Diane Palmer through kennedy in Stratford. I had no out of pocket expense. It was covered 100% Diane T. Palmer, MSN, Apn 856-566-6459 Just call and tell them you need a psych clearance. Shes very nice. Yiu may have to call a few times to get answer. Hope that helps

Yay for everyone's paper being sent. BCBS FINALLY got my paperwork friday. So now I wait for a denial so it can be sent to secondary. Then I get to wait all over again.

Congratulations! !! So excited for you!

SO on 12/18 I completed my last appointment and my chart was "sent" to insurance. On the 23rd I started calling the insurance to see what was going on. Everyday I called, they said that they didnt have it. I called my doctors office ranting and they assured me that they sent it. Well low and behokd, I call again todayand they never Frickin Sent it!!!!!!! I'm infuriated! !!! Now I have to wait again for it to be sent. I'm so irritated. They wasted 3 weeks all because they didn't check. Uhhh vent over

They told me it takes 24-48 hrs to upload into the system. All I need is the denial letter ????

Your better then me. I'm calling daily. I have no time to waste and I'm on a tight timeframe.

Same thing is happening to me. I waited 3 weeks to find out that rhey never sent it. Well actually they said BCBS never recieved. Now im on them hardcore! What insurance do you have?

I'm calling as we speak. I'm giving them until monday to receive it.

The office manager just emailed me. She apologized, and blamed it on BCBS lol. She said it has happened before ????. They re-faxed it this morning. So now I wait for my primary to deny, so that it can be sent to my secondary insurance. Ahhhh the wait is killing me, and its looking like January 20th will be pushed back. ????

Thanks for understanding. When I asked how I was forgotten they had no clue. Its kind of sad because they have been stellar with everything up until this point. The office manager said she would get it sorted out and get back to me today. So we shall see. I will continue to stay on top of everything. I refuse to fall through the cracks again.

Hi there. Im in the waiting phase too. I have BCBS NJ and im waiting for my surgery date :-) im 27, 5'9 314lbs with a bmi of 47

That should say primary

I have a lri ary which doesnt cover, but my secondary does, both are Bcbs though. My info was submitted on 12/23 and im still waiting