Fed up with surgeons office!

[kkelly37 21]

I went to the surgeon on 9/3 to have a visit with him and meet the insurance lady. She told me what my insurance requires and how to schedule everything. I got all of my clearances done in 2 weeks. Everything on my end is done. She told me a week ago she was sending it to insurance. My insurance does not have it. I have repeatedly called the lady for the last 3 work days. No response. My surgeon is very highly recommended. I don't want to switch. I feel very comfortable with him and my insurance says if I do decide to switch I have to redo everything. I don't know what to do. I need to get this scheduled before it gets into the holiday season so my hubby can take off to be with me and take care of our son.

[TurnThePage 220]

Like you, I had a great surgeon but the office was largely staffed with incompetent idiots, many of whom did not return phone calls. I took my problem to the surgeon's office manager. Had she not returned my phone call and fixed the problem immediately, I would have camped out in her office until she saw me and together we walked my file through her bleepin' office to get things done right. I also faxed a letter to my surgeon summarizing the difficulties I was experiencing with his staff. There was one really serious staff error that caused the insurance co. to deny my surgery. I took that matter to the Chief Operating Officer of the hospital that runs the Obesity Center.

I would make an appt with the insurance processors at the surgeon's office and demand that they show you the file that was submitted to the insurance company and give you a copy of it. While you are there, have them make a conference call with the insurance co and right then and there have it sorted out as to exactly whom to send a copy to in order to resubmit. If they are going to fax it, sit there and wait until you see them do it. Call the insurance company staffer an hour later to make sure it was received. Repeat as necessary.

Sometimes you have to take matters in your own hands and be your own advocate.

[kkelly37 21]

I've called her and the insurance company 3 + times a day for the past week. She won't even call me back to schedule an appt. I even paid a 300 dollar program fee for them to handle the insurance stuff. If she does not call me back tomorrow my husband is going to call.

[mzshay35 215]

I went to the surgeon on 9/3 to have a visit with him and meet the insurance lady. She told me what my insurance requires and how to schedule everything. I got all of my clearances done in 2 weeks. Everything on my end is done. She told me a week ago she was sending it to insurance. My insurance does not have it. I have repeatedly called the lady for the last 3 work days. No response. My surgeon is very highly recommended. I don't want to switch. I feel very comfortable with him and my insurance says if I do decide to switch I have to redo everything. I don't know what to do. I need to get this scheduled before it gets into the holiday season so my hubby can take off to be with me and take care of our son.

I switched when the say re do they just resubmits every to insurance again I had all my records from that surgeon sent to my new once it was quicker and they were very nice but just call whoever you choose to see what they require

Mz Shay

[hottamale 27]

kkelly, take matters in your own hands!!! Go to the office like previously stated by TurnThePage. Walk your paper thru the process and don't take no for the answer. Please take a stand. That is a complete waste to pay for insurance office to file crap! You can do this!!! Just go in first thing when they open! be the first one in the office!!! Let them know how distasteful it is to not return phone calls. Be sure and tell them you will give a negative review. Let us know how things turn out.

[kkelly37 21]

My husband called the office and she answered. She immediately said "I haven't heard anything" she obviously had not even listened to my voicemails about her having the wrong fax number. she acted like she had done nothing wrong by avoiding my calls. She did tell my husband she would immediately fax it to the correct number. Hopefully she does this time.

[kkelly37 21]

I finally got ahold of someone at my insurance who was helpful. She called the office and demanded the paper work. They sent it to her immediately. The lady is cutting out all of the middle men and sending I to be reviewed herself and I should have an answer tomorrow or Thursday!

[TurnThePage 220]

Good for you!! You have to be your own advocate and not rely solely on the staffers.

[kkelly37 21]

I'm so impatient!! The insurance office has only been open 2 hours today and I'm already dying to call and see If it's been reviewed!!!

[hottamale 27]

Well what did you find out? I would have called first thing. Yep, they would get tired of me either calling or showing up in their office. A girls gotta do, what a girls gotta do! can't wait.

[kkelly37 21]

They haven't reviewed it :-(. I heard someone in the background say "she's calling again" lmao. All we are waiting on is insurance approval. They are going to get a break from me today though Cus I woke up with a floor fill of Water and a completely defrosted fridge and freezer. Needless to say I have to spend my day taking care of that and won't have time to bug them all day :-(

[hottamale 27]

_{Hope you got to cook lots of good yummy things with your "Defrost"! On the other hand, I could be a really bad itch to the one that comments in the office and its not professional!!!! I feel that they have a job, just do it and don't moan about it! Keep us updated!}

[kkelly37 21]

I just finally heard from my insurance... I was APPROVED.

[Lynne 4]

I just finally heard from my insurance... I was APPROVED.

So happy for you!