Case closed, grrrrrr!

[LI Gemini NY 607]

So my patient coordinator emails me and says they received everything but they need a letter of clearance from my hematologist. They never told me to see a hematologist! I asked them if it was safe for me to have the sleeve because I have hemoglobin sc which is a type of sickle cell anemia and all they said was yes, the surgeon said its fine.

Being the worry bug that I am, I decided to go see a hematologist anyway well because I needed to know more about what I have and to make sure I was good to go. So she emails me on Monday asking for a letter but my first appointment with the hematologist wasn't until Thursday. Yesterday.

I'm thinking to myself...it's a good thing I took it on myself to see this guy because if I waited til they told me to see one, I would have to wait 7-10 days get a referral then another 1-2 weeks to make an appointment.

Low and behold, the letter that my hemo sent on thursday wasn't sufficient and my insurance company needed a more detailed letter by today! Friday or my case would be closed!

The hematologist's office was closed today.... And so is my freaking case. Unbelievable!

[LipstickLady 25,682]

You can appeal that. Don't lose hope yet.

[Reigo 111]

So sorry to hear that! Keep fighting and appealing.

[mrsmo33 3]

Don't give up appeal the decision. There are three levels of appeals exhaust all of them if you have to. I promise you its so worth it!

[Kami63 215]

Sorry, that is frustrating! Try to remain calm. ( Easier said than done, i know this very well) You can get the letter and then resubmit. I would have the insurance detail to you what they need so you can get the right letter. Good luck and hang in there.

[LI Gemini NY 607]

I intend on appealing, it's just annoying that I could have avoided this had they told me I needed clearance from the hematologist. I had the referral for at least a month now. I would have taken care of it earlier.