I'm probably annoying the surgeons office

[nerdmom 4]

I need two things for my approval, 1 being an upper GI and 2 being a psych eval. Upper GI done and results in, psych eval done Feb 10 and they said 10 days at max before results. keep calling on nothing back on the psych eval. I mean these are literally the only 2 things I need before insurance can approve me for surgery. I don't want to be annoying, I just don't want to get lost in the mix. :/

[Daisee68 2,493]

I agree with you. Keep calling. I was told 10 days ago I was finally approved for sleep study (surgeon requires ruling out sleep Apnea but insurance had declined to cover). Now insurance has finally approved home sleep study only but surgeon office had to "find someone who does home sleep study". Still no word. I like getting stuff checked off my list and I am trying to be patient but if I was as close as you I would probably be calling even more often!

[goregalore 16]

It happens. I had all my pre-op tests done on Feb 4th. My PCP had my chest xray, EKG, and bloodwork faxed to my surgeons office Feb 5th...after faxing these tests FOUR additional times to the surgeons office, they finally "have everything" to send to my insurance. It has been absolutely ridiculous... I'm giving them a call tomorrow to check for a 5th time if they really have everything. Be annoying as much as you need to be... This is your surgery, not theirs.

[nerdmom 4]

You guys are great encouragement! Thank you! I hope all goes well with you guys!

[Djmohr 6,965]

Dont be afraid of being annoying. It is so easy to get lost in the shuffle at both the doctors offices and insurance companies.

It happened to me at my doctors office. The nurse who processes the paperwork went on vacation for 3 weeks and left my completed file somewhere before submitting it. Unfortunately I was not calling to check and 3 weeks went by with no answer. When I called the surgeons office I that nurse had just returned and apologized to me for the delay. I think I cried for 2 hours because now I had another wait for the insurance company. I had already been waiting for 9 months!

The good news is, my insurance company took less than 24 hours to approve me and I was well on my way.

Stay on it!

[nerdmom 4]

Finally at least some answers! I called again today and the one guy who has been super helpful couldn't find my chart. He hunted it down and found that the psychiatrist still hasn't brought my report back. He called the psychiatrist and the psychiatrist said that I am cleared but he is bringing the report in on Tuesday. My surgeon's office said that the letter to the insurance should be sent out on tuesday too since they will have everything. Then I get to call and bug the insurance! Lol. Thank you all for all your help and encouragement. I hoping we can all get this done soon! Keep in touch let me know how everything is going for you all!

[nerdmom 4]

Well guys, it seems to be falling in place more now. The surgeons office is sending my letter of medical necessity this week and I have to get a tonsillectomy on the 19th. If all goes well I am praying for April 6th to be my surgery date so my mom can watch the kids, otherwise I have no idea as to what to do with them. My kids are 1 and 5 and I'm a SAHM. Once I'm cleared from the bypass I'm going to need someone to watch my kids while I go have a hysterectomy. Wow. This is crazy. Oh well. Life is good just need that letter sent then I can be on my liquid diet while healing from the tonsillectomy. That really couldn't be more perfect.

Edited March 5, 2015 by nerdmom