just wait?

chubbola · December 30, 2006

i actually posted this question on insurance board, but am hoping to get more responses on this one!

i spoke with my bariatric clinic when i faxed them my insurance card which takes effect 1/1/07, and she said that she'll send in a request for payment. until then i just have to sit and wait for a response. this doesn't sound right to me! isn't this when i should be giving my insurance company all my ww weight books and all my other methods of weight loss that i've tried with no success? i just feel that this is precious time that's being wasted! she said they have to get the initial approval before i can go see the psychologist...which costs $800!!! i bout fell over!!! i guess what i'm wondering if i really do have to wait for a denial before i get a chance to show my insurance company what i've tried? seems like a run-around to me! hope to hear some insight on this!

:help: :help: :help: :help: :help:

Kat817 · December 30, 2006

Have you spoke with your insurance company yourself to find out exactly what they require? It could be that your Dr.'s offices records alone are enough to meet the requirements. If you know for a fact that they require more than can be submitted by the Dr.'s office, contact them and ask where the additional documentation can be sent. If there is any question it will speed things up to be proactive and do it yourself than being reactive and allowing the office staff to do it after a denial. If you send it yourself, don't forget to copy, document who you speak with, who and where you mail it to, and mail it with delivery confirmation, after faxing it to them---double up! Good Luck---sounds like the ball is rolling...just as the big ball is ready to drop--here's to a great year for you!!! Cheers!

Kat