Frustrated with surgeon's office....

[AnaLaura85 32]

So after hours of taking back and forth with the Insurance and doctor's office, I finally understood what happened with my records.

So my doctor's office sends everything to a "predetermination" departament of Blue Cross Blue Shield to verify (in written) that I have coverage for bariatric surgery. This predetermination process is voluntary, but I guess my doctor thinks is worthy, so they "submitted" to the insurance just get a determination of benefits. This single process can take up to 2 weeks. Once this departament says ok to the coverage, that's when they finally send the records to my actual insurance for precertification.

Gosh, I wonder why they didn't explain this to me from the beginning. So be aware that this is a common practice, so if your doctor takes this route, it will take much longer than what your own insurance told you.

Finally, my insurance received the predetermination (benefits only) and records today. Praying for an approval!

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Mine was the actual clinic not doing their job after a week of calls and emails they finally submitted today now u have to wait 5 days to find out of its approved . Good luck to you

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[AnaLaura85 32]

Well today I called to check status and not even 24 hours later the insurance had approved the surgery now I'm waiting for the office to let me know if is gonna be June 10 or June 3 since that's what they submitted for I hope they call me soon or I will be calling before end of day lol

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[lolarose13 147]

Well today I called to check status and not even 24 hours later the insurance had approved the surgery now I'm waiting for the office to let me know if is gonna be June 10 or June 3 since that's what they submitted for I hope they call me soon or I will be calling before end of day lol

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Congratulations! I got my approval this morning as well - happy dance after all the hassle

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[AnaLaura85 32]

Well today I called to check status and not even 24 hours later the insurance had approved the surgery now I'm waiting for the office to let me know if is gonna be June 10 or June 3 since that's what they submitted for I hope they call me soon or I will be calling before end of day lol

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Congratulations! I got my approval this morning as well - happy dance after all the hassle

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Congratulations to you as well have you scheduled a day yet?

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