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Patient Coordinator Hell!



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I was set for surgery literally down to my bags packed, groceries stock post op, lists made, bills paid, and several contacts in case of emergency besides my husband and over 2 weeks of fasting. I was ready.

Less than 24 hours before check in, my PCC calls and tells me my secondary Insurance should have been my primary, because I have My Medicare, and my husband carries me on his plan as well, and because he works they have to bill his first and mine second. Keep in mind my surgeon's office called me less than a month ago, five months into this process, and said they were using my Medicare as the primary, but changed their story less than a day to go.

For the next 23 hours I could not sleep, focus or do anything, but try to get this approved, all work mine you done on my end, and my PCC just getting smug and condescending.

Needless to say my surgery was canceled until I get my approval, ory option was to check in, sign.a waiver and be liable for ALL the charges.

Hell no!

Come to find out less than an hour after my surgery was canceled I got a phone call from an RN from my Husbands insurance stating that the office I was going through lost their Center of Excellence Status with his company, and regardless of the outcome, I was going to be stuck with all of it anyway.

I will NEVER step foot in their again, so much so that 3 weeks again I contacted another center, and they did more for me in an afternoon than my previous office did combined!

Lesson learned, and what a close call. Got to look for that silver lining somewhere.

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I feel you. After about 2 weeks, my doctor finally did my peer to peer review yesterday which got denied. When I asked the lady from the office why I was denied again, she had no clue. You would think she would have that information. It's kind of important. I just don't think the doc and her staff did all they could do to get me approved. I'm think I'm going to try my luck with a different doc.

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Be thankful sounds like a good omen to me. It wasn't meant be at that location; someone helped you make the decision to go elsewhere and I will bet it will go through with flying colours!!

Don't worry you will be sleeved before you know it!!

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Whew... very frustrating, but glad you can see it as a blessing in disguise.

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At first I was so flipping mad, and crying due to frustration. I mean fasting alone and the anticipation of surgery are enough to stress anyone out, let alone this nightmare on top of it.

I am EXTREMELY thankful it happened now, as I do believe in "warning signs," and that was clearly one.

Everything for a reason right? Right!

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