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clmiller64

Pre Op
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About clmiller64

  • Rank
    Newbie

About Me

  • Gender
    Female
  1. I started my journey in February of this year. Just last Thursday paperwork for pre-certification was finally sent to Anthem. On Monday, 6/29 I received a "form" letter stating they needed additional clinical information, basic stuff like what meds I'm on. I called the surgeons office who told me they had sent Anthem 56 pages, that included everything being asked for. I called Anthem, who told me "oh, we send that letter to everyone". Like it was a "we received your inquiry, we'll be in touch note", instead of a letter stating my precerticiation is pending. She then said all 56 pages had been received and were on "Nurse Mike's" desk for review, and would take up to 15 days from date of receipt (06/25). I just wonder, is this a stall tactic? Did anyone else receive one of these letters? Why would they send it before even looking at the documentation submitted by insurance. Just feeling frustrated....Candy

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