What the h*ll is going on?!?!?

[tailor-made 33]

Cigna confirmed receiving my info on March 2nd. I've been calling every few days or so to check the status and just keep getting the same "it's pending". Well today, I said no more basic answers. I called and asked for details because I feel I've been waiting forever. The rep puts me on hold to contact pre-cert so she can give me some type of straight answers. When she comes back, she says she noticed they pushed my paperwork back to a receipt date of March 4th instead of the 2nd. However, because of that error, they will expedite things to give me an answer within 24-48 hours. I was relieved until she said "but I'll go ahead and tell you the rep in the pre-cert department said you will probably be denied because of a lack of weight loss/diet info from August 2015". 1st thing I don't understand is if they require 89+ days and I am 100% sure I have this, why does August 2015 matter? They have Sept 2015 through Feb 2016. I've tried pretty much every diet you could think of so they have me so confused. Could the pre-cert rep just be yapping off at the mouth and not really know the deal? Right now, my info is on the desk of the medical director. This is beyond frustrating!!!!

[liposuction68 178]

I know the pain and fustration you are going through. What you said above about the time frame make sure you use that if you have to appeal. I HOPE YOU DONT!... You have to stick it to them. Keep your foot on their neck. and also my doctors office manager (when i was calling my insurance on my own) to make sure when you speak to someone that you write their name down, because she said that most of the time its a rep answering and they are giving misinformation. Just demand to speak to a manager...Good Luck...

[tailor-made 33]

Thanks @liposuction68. They just have me feeling so lost right now. I'm going to regroup and contact them again tomorrow.

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[tailor-made 33]

Called today and expected for the automatic system to say pending but it said approved!!! Over the moon right now. Just waiting to hear from my surgeon's office for the next steps.

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[liposuction68 178]

YEAHHHHHHH! I dont even know if my insurance has an automated response now you have me guessing should i call should i just wait. lol but Congratulations to you. i would call your surgeons office right now.

yup

[tailor-made 33]

Thanks. I was so surprised after hearing it on the system that I actually called back to hear it from a rep. The strange thing is she said it was approved on March 15th...which was the same day the other rep said it would be another 24-48 hours before they would make a decision and said I'd probably be denied...just crazy!!! My surgeon's office hasn't called yet so I'm going to give them until tomorrow. I'm just glad to be approved after what seemed like forever.

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[Ashoryb 52]

Yay!!! Congrats. I too have cigna and I'm still waiting to hear something. I've called and still have not been able to get anything other than its still pending. Grr.

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[tailor-made 33]

@@Ashoryb when did your surgeon's office submit to insurance?

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[Ashoryb 52]

@@Ashoryb when did your surgeon's office submit to insurance?

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They submitted March first and I was denied this afternoon

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