ugh! so frustrated with Dr. office VENT

determined1 · March 10, 2010

I am so frustrated with Drs office sending in insurance papers. I have *attended the seminar, *paid for psych appt. (*keep in mind this is 4 hrs away also). Now I am waiting for them to send in insurance papers for pre-approval. First I was told that they would have them summited by end of last week but now they tell me that they are running about 2-3 weeks behind because they have new physicians coming in and everyone is in a line so -in other words wait your turn! well I have done everything thus far that they asked and had they told me that my papers wouldnt be summited for another 4 weeks, I would have looked into another Dr. THIS is just to let me know if I'm approved or not, I feel like my life is on hold until I find this out.

I am considering another surgeon right now, infact, a surgeon that comes recommended from my surgeons office for the sleeve. I do know that the new surgeon wants me to start over with going to the seminar then go from there (still 4 hrs away). I dont even know if they would accept the psych evaluation.

I'm am so excited to have decided on the sleeve, now just frustrated for the wait. :tongue_smilie:

janetbanana · March 11, 2010

Hi - Dr. Inman is doing my sleeve. My surgery is scheduled for April 29th. Let me tell you how my journey has gone so far:

September is when I had my consultation with Dr. Inman. It took about a month for me to collect all my medical records and make sure they got to Dr. Inman's office. I forget when they submitted my paperwork, but I found out at the end of November that I was denied. After getting the denial letter, Coleen emaileed me to ask if I was going to appeal and I said I didn't know so she said they were going to put away my file. When I looked at the denial letter again, I saw they didn't use the "official" sleeve CPT code (sleeve got an official code assigned for 2010) when they submitted so I emailed Colleen back and told her I noticed that. Somebody called me from Dr. Inman's office in January and said that they had resubmitted my claim. I pretty much blew it off because I had given up hope and figured it wasn't going to happen. Then out of nowhere on Feb 26 - I got the letter in the mail from the insurance company saying I was approved. I was pretty shocked, I had forgotten they even resubmitted the claim. So I faxed the letter to Dr. Inman's office and they called me back to schedule. It was originally supposed to be April 16, but I couldn't do it that day. So now I have to take that pre-op class and do their testing and go to one of their doctors for a physical. I am excited - I think about all the cute clothes I haven't been able to wear for a long time, and how I will be back to my old self and finally start dating again, and I am thrilled. But I am also so nervous! Now that I know it is going to happen, I just want to get it over with. Anyway, it's nice to see someone who is going to the same doctor getting the same procedure!

Anyway - I know how frustrating it can be dealing with insurance and doctors, I feel your pain!

later-janet