BCBSM vs Dr?

[letsdothis2gether 9]

So the insurance rep from my surgeons office called me last week to let me know all of paperwork has been submitted to my insurance. She said they got a precert date &could have it done as early as June 16.

However, they need to wait for authorization in order to make sure they will get paid.

I called my insurance twice and was told they don't have any record of my dr sending anything. Today when I was told that my policy doesn't require pre authorization.

The ins rep gave me her extension and said to have my dr's office call. Also to find out where they sent the paperwork. She asked if the dr was withholding services for a procedure that doesn't require pre authorization? I said after talking to ins it kind of sounds that way. I know the dr just wants to make sure they get paid. They are even a BCBS Blue Distinction facility.

This is really annoying. Has anyone else been in this situation?

[cutiepieinchi 158]

I have bcbs of il and I had to get an approval letter before having insurance. Most insurances require it. I have noticed that bcbs tends to have quicker approvals. I got my approval 48 hours after it was submitted. Best of luck to you!

[MimIN 19]

_{I too have BCBSM and I too am getting the run around where they are saying they do not have any record of it. My situation may be a little different as I am a band to bypass conversion due to complications. I was told I do need authorization.}

_{What day did your Dr office submit? Mine was on Thursday, I have heard it takes a few days to get into the system. My surgery date is tentatively scheduled for May 12th so I had hoped I would have received a fast response.}