Puss in Boots

Hi bluefairy,

My surgeon is considered by :thumbup:United to be a provider of choice. The case manager let me know that the reputation of the surgeon, the reputation of the hospital in question is figured into the decision. Disorganized medical practices turn off insurance companies because they tend not to follow through. So pay attention to your doc and how the office runs. Also, the supporting documents submitted by the surgeon mattered too. Fortunately, I was working with a first class operation.

My humble opinion to you would be to first select a doctor who is supportive of you having surgery. Case managers quickly pick up on docs who are not convinced that this is the best move for the patient. Think about it, if the doc is uncertain, why should they pay for it? Next select the best surgeon with priviledges in the best hospital your area offers. Insurance is more apt to pay if they feel the patient is likely to have a successful outcome. Lastly, stay on top of the process. Keep your appts, turn in accurate paperwork on time, communicate with your doc's office weekly to ensure that needed information has been sent to the insurance company in a timely matter. Keep good records. Hope this is helpful information for you.

Good Luck to you!:thumbup:

Tammygirl