Insurance timeframe

[Stacey627 0]

Hi - does anyone know how long it takes for the Ins. Co to approve you once they recieve all the paper work? I have Blue Cross PPO

Thanks

[kagead 0]

If you search these boards, you will find answers that are all over the place!!!

I am on an individual plan with BCBS of Illinois. When I called them to ask about approval time frame, they told me they usually get things done in 7-10 business days.

The insurance coordinator told me they are usually closer to 15-20 business days, sometimes as much as 25. And, she also confirmed the stories I have read here that note BCBS is notorious for denying on first submission. She said even if they deny, the tell them what is missing so they can get it through on the 2nd try.

All that said, my stuff should be submitted any day and the insurance coordinator at the surgeons office said BCBS has been running "pretty quick" lately and she was hoping for a 10 day time frame.

Good luck to you!

kagead

[Stacey627 0]

Great - thanks so much! I think I have everything! We shall see:smile:

[banded2010 0]

I also have BC PPO. I asked them how long it took before I even started the process. They told me that once they received all the paperwork that was required it would only take about 3 days for an answer.

My paperwork was faxed over to the insurance company on a Friday afternoon and I called the insurance company on Tuesday. They told me that the system showed that it was pending and that I could call back tomorrow to see if it had posted. I called back the next day and it had been approved! I asked them to please fax the letter to the Dr.'s office for me and she said no problem. So, while I was on hold she printed the letter and walked to the fax machine and faxed it for me right then! I then called my Dr.'s office and they had received my letter from the insurance company and they scheduled my surgery date right then and there!

So, I think that if you contact your provider they can tell you directly how their process works because all insurance companies are so different!

I just had my pre op appointment this afternoon and my surgery will be first thing Monday morning! 4/19/10

[Manda87 3]

I have Empire Blue and it took a little over a week. I was informed before my surgeon's office. :cool:

[Stacey627 0]

Wow That is great info! I am hoping they the sleep study test doesn't hold me up! Good luck too you!

[RavenClaw779 2]

I have BCBS PPO - took three day from receipt of docs for approval.

[kagead 0]

You guys are giving me hope! I talked to the coordinator in my surgeon's office and she sent my file in TODAY. Finally! I plan on calling BCBS on Friday just to make sure everything has been received.

Good thing I am not a stress eater otherwise I'd be in big trouble...

kagead

[HappyMom 1]

I have BCBS of California and it took about 6 working days to get my approval. I didn't try calling the insurance company, but heard the final results from my Dr.'s office.

Good luck to you...I hope that you hear soon!!

[jalivia2 0]

I have BCBS of TX PPO and it took 2 business days for approval. 3 business days from the time that my paperwork was submitted to the time that my drs office called me to let me know that I had been approved.

I keep hearing that BCBS one of the easiest ins companies as far as approvals go.

Edited April 15, 2010 by jalivia2
Add Info

[Stacey627 0]

Thanks everyone! When I spoke to the nurse about other stuff today I asked her and she said BCBS is easy and they have been doing 1 day turn arounds! How great is that!!!!:thumbup:

Thanks Again!

[MrsCabes 2]

I have Anthem and it took about 6 weeks! Granted, it was toward the end of the year and EVERYONE was trying to get surgeries in!

[ROSAC 0]

good luck let me know how it is..getting ready for my surgery sometime in may.

[Shirley V 0]

I have BS of Calif and it took 3 days and was approved on the first try.

Good Luck hope your goes through as quick

[Katy517 1]

It really depends on the insurance company. I have PHCS managed by PBA and it was six plus months for me to get the approval. I was required to have a 40+ BMI. I also had to get a psych eval, GI series, sleep study & ultrasound. My insurance also required six monthly visits with a nutritionist and the recommendation of my primary car physician.