Submitting info to insurance

[baileyj908 37]

I completed my last weight management class last Thursday. I was told my info most likely would have been submitted on Friday. I called today to check and found out it wasn't submitted yet. The case manager said she was waiting for my clearance my my phys exam. I had this done at the end August. Feeling frustrated that this wasn't sent over yet.

[Tobeornottobe 89]

Have you followed up to make sure all the paperwork was sent? Who do you need to call to get the clearance from your physical exam?

I completed my last weight management class last Thursday. I was told my info most likely would have been submitted on Friday. I called today to check and found out it wasn't submitted yet. The case manager said she was waiting for my clearance my my phys exam. I had this done at the end August. Feeling frustrated that this wasn't sent over yet.

You should be proactive. This is your health.

[baileyj908 37]

When I was at the doctors Thursday the nurse said they had everything. The evaluation was done at their office, so there is no reason it shouldn't have been in my file. The case manager said she needed a letter clearing me for the surgery.

Edited November 4, 2015 by baileyj908

[Tobeornottobe 89]

Is there someone you can speak with at the doctor's office? Nurse, bariatric coordinator? Someone who can find the missing piece and get it over to the insurance company ASAP.

[baileyj908 37]

The caseworker/office coordinator is the person who sends everything over. She said she would get the needed paper and send it over and then confirm when she does. I'm hoping to hear back from her tomorrow.

[Tobeornottobe 89]

I hope you update once you get word.

I'm rooting for you. Good luck!

[baileyj908 37]

Thank you

[ddaisie00 2]

Good Luck!!! I am in a similar place. I saw my surgeon on Thursday and he said the office would send it to my insurance for approval on Friday. I plan on calling my insurance tomorrow (Wednesday) to check on the status. I just REALLY prefer not to have it sitting on someone's desk for a week waiting for approval.

I agree that it's your health. I say be proactive and follow-up with the coordinator to make sure she DID make the call and receive it. Honestly, being a 'squeaky wheel' is the best way to get things accomplished... as long as it's in a polite manner.

[fluffytofit 25]

I was submitted last Thursday. I've been calling my insurance company daily, and they're only waiting on my psych clearance. Everyone is in the same office, so I don't know what the hold up is. This wait is killer...

[freemommy×4 65]

I understand the frustration! Today is the last day for Aetna to decide on my appeal. They won't tell me anything! Just keep saying it is open as of now and to wait 7 -10 days for a letter.????

[baileyj908 37]

Finally got a hold of her today. She said she sent over everything. They gave me a surgery date (pending approval) for December 18th.

[Lexigurl82 160]

sometimes it's like that...my surgeon's office took a week to submit my paperwork to my insurance. it took the insurance company a week to review and approve my surgery. good luck!

[baileyj908 37]

I'M Approved

[Tobeornottobe 89]

Congrats!