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Getting too jumpy...need this to be finalized!



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I thought I could wait this out, but I am getting too many mixed messages from St. Alexius NewStart. First I was told that RK was my patient advocate so I was corresponding with her. Then I was told that JP is my patient advocate and I should be talking with her. I was called last week 5/28 that my file was being reviewed and should be sent to the insurance that afternoon. A nurse (don't remember the name) called me, not my PA. The nurse said don't call the insurance company for at least 30 days (yeah, whatever). Then yesterday a Sara calls me saying she is my NUT and that I may need to do a 6 month diet before submitting...WTF? I know that my insurance does not require this, but she didn't...doesn't anyone take the time to look through the file? That should be noted somewhere, wouldn't you think?

I did contact the insurance company and they said NOTHING has been submitted in my case. I kinda figured that yesterday when the NUT called as I did know that was a pending item, but thought well maybe they will submit and see if the insurance catches it...who knows.

The closer this gets the more nervous I am becoming and I don't like it!!

I left a message for the PA and am waiting to hear back.

So, how is your day going???

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UPDATE!!!

From St. Alexius this morning: "I just spoke to Starr, the insurance specialist, and she stated that she has everything that we need and that she is submitting your predetermination letter right now. By law insurance companies have 30 business days, not counting weekends and holidays, to respond to the letter. However we are optimistic that we will get a response within the next two weeks (insurance companies have been very quick with their responses the last few months). I would contact Starr after 7 days (so by Monday, June 17) if you do not hear from us or your insurance company."

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