Insurance Approval Jitters

[Kyn13 215]

Grrrrrrr! !! I'm really starting to hate the woman I'm supposed to get a hold of at my surgeon office... she is never there... and when she is she never returns my phone calls!!! Called at 830 this am left a vm, called just now at 140 and she is gone for the daum day.

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My coordinator is like that too. I can only get a word with her through email and sometimes she doesn't even answer me. It's super annoying but I just try to tell myself I'm not the only one she's dealing with /:

I know it's just frustrating cause she was just out on vacation for two weeks, and then the last two weeks she has been out of the office by noon at least half the time. So I can't imagine how anything gets done if she is never there.

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[doingitmyway 87]

I confirmed with another rep and my provided that preauthorization is not required but because they could look for a reason to reject we asked for a review prior to services. They submitted documentation for review. It is really the same thin they just don't call it an authorization.

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[kmorri 1,689]

@@doingitmyway it is a pre-determination of services. I actually just chatted with someone who still works in the Pre-Auth department just to make sure nothing had changed......and it hasn't....Pre-Determination/Prior Auth....is required for bariatric surgery.

Just make sure you have your approval prior to the surgery so you don't have to worry about your claim being denied.....My hospital bill alone was $47,000 and that didn't even include the surgeon's fee...........that's not a bill you want to get stuck with. good luck to you.

[Amurillo04 109]

Grrrrrrr! !! I'm really starting to hate the woman I'm supposed to get a hold of at my surgeon office... she is never there... and when she is she never returns my phone calls!!! Called at 830 this am left a vm, called just now at 140 and she is gone for the daum day.

Sent from my SAMSUNG-SM-G870A using the BariatricPal App

My coordinator is like that too. I can only get a word with her through email and sometimes she doesn't even answer me. It's super annoying but I just try to tell myself I'm not the only one she's dealing with /:

I know it's just frustrating cause she was just out on vacation for two weeks, and then the last two weeks she has been out of the office by noon at least half the time. So I can't imagine how anything gets done if she is never there.

Sent from my SAMSUNG-SM-G870A using the BariatricPal App

I finally got an answer back on whether or not my coordinator got my packet to submit to insurance. It's funny how 5 words can make your day. Now I just have to wait for her to submit it lol. Even more wait ☹️

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[Kyn13 215]

Grrrrrrr! !! I'm really starting to hate the woman I'm supposed to get a hold of at my surgeon office... she is never there... and when she is she never returns my phone calls!!! Called at 830 this am left a vm, called just now at 140 and she is gone for the daum day.

Sent from my SAMSUNG-SM-G870A using the BariatricPal App

My coordinator is like that too. I can only get a word with her through email and sometimes she doesn't even answer me. It's super annoying but I just try to tell myself I'm not the only one she's dealing with /:

I know it's just frustrating cause she was just out on vacation for two weeks, and then the last two weeks she has been out of the office by noon at least half the time. So I can't imagine how anything gets done if she is never there.

Sent from my SAMSUNG-SM-G870A using the BariatricPal App

I finally got an answer back on whether or not my coordinator got my packet to submit to insurance. It's funny how 5 words can make your day. Now I just have to wait for her to submit it lol. Even more wait ☹️ ImageUploadedByBariatricPal1467125201.713332.jpg

Sent from my iPhone using the BariatricPal App

Yay one step closer, called mine this am and had to leave a message. Hoping she will actually get back with me.

Sent from my SAMSUNG-SM-G870A using the BariatricPal App

[Amurillo04 109]

Grrrrrrr! !! I'm really starting to hate the woman I'm supposed to get a hold of at my surgeon office... she is never there... and when she is she never returns my phone calls!!! Called at 830 this am left a vm, called just now at 140 and she is gone for the daum day.

Sent from my SAMSUNG-SM-G870A using the BariatricPal App

My coordinator is like that too. I can only get a word with her through email and sometimes she doesn't even answer me. It's super annoying but I just try to tell myself I'm not the only one she's dealing with /:

I know it's just frustrating cause she was just out on vacation for two weeks, and then the last two weeks she has been out of the office by noon at least half the time. So I can't imagine how anything gets done if she is never there.

Sent from my SAMSUNG-SM-G870A using the BariatricPal App

I finally got an answer back on whether or not my coordinator got my packet to submit to insurance. It's funny how 5 words can make your day. Now I just have to wait for her to submit it lol. Even more wait ☹️ ImageUploadedByBariatricPal1467125201.713332.jpg

Sent from my iPhone using the BariatricPal App

Yay one step closer, called mine this am and had to leave a message. Hoping she will actually get back with me.

Sent from my SAMSUNG-SM-G870A using the BariatricPal App

I know the waiting is killing me but the little things make me happy because I know once she sees it it'll on be a matter of time before she submits it. I assume not too long because they want to make that 30 grand lol. I hope yours gets back to you too because the wait is so anxiety inducing, thinking about if something is going wrong!

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[Kyn13 215]

Grrrrrrr! !! I'm really starting to hate the woman I'm supposed to get a hold of at my surgeon office... she is never there... and when she is she never returns my phone calls!!! Called at 830 this am left a vm, called just now at 140 and she is gone for the daum day.

Sent from my SAMSUNG-SM-G870A using the BariatricPal App

My coordinator is like that too. I can only get a word with her through email and sometimes she doesn't even answer me. It's super annoying but I just try to tell myself I'm not the only one she's dealing with /:

I know it's just frustrating cause she was just out on vacation for two weeks, and then the last two weeks she has been out of the office by noon at least half the time. So I can't imagine how anything gets done if she is never there.

Sent from my SAMSUNG-SM-G870A using the BariatricPal App

I finally got an answer back on whether or not my coordinator got my packet to submit to insurance. It's funny how 5 words can make your day. Now I just have to wait for her to submit it lol. Even more wait ☹️ ImageUploadedByBariatricPal1467125201.713332.jpg

Sent from my iPhone using the BariatricPal App

Yay one step closer, called mine this am and had to leave a message. Hoping she will actually get back with me.

Sent from my SAMSUNG-SM-G870A using the BariatricPal App

I know the waiting is killing me but the little things make me happy because I know once she sees it it'll on be a matter of time before she submits it. I assume not too long because they want to make that 30 grand lol. I hope yours gets back to you too because the wait is so anxiety inducing, thinking about if something is going wrong!

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Yeah that's no lie, all I can do is make my self sick with worry over being approved or not. Ready for this leg of the race to be over

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[tlyons72 43]

Greetings!

Long time lurker - 1st time poster.

My Dr. office submitted for approval yesterday. She said we'd know in 15 days, if not earlier. Emotionally, I'm all over the place. I'm nervous, excited, happy, confused, you get the picture.

How long does it normally take to have the surgery after approval? I suppose that depends on a lot of factors but ...in general...how long?

I think what I'm most nervous about is telling my Rheumatologist. When I told my GP, she became very upset and explained that if I practiced a little self control, this wouldn't be an issue. So, I said goodbye to that 10 yr relationship. I don't want to do the same to my Rheumy.

Work is another story altogether. I have no desire to tell the majority my plans. I love everyone I work with but I fear they may see optional/elective surgery as a selfish way to put undue stress on them. Thoughts?

So....I'm waiting for my approval and while I wait, these are the things that flutter in and out of my mind. It's constant. No amount of distractions keep the thoughts at bay for long.

Breathe...in through the nose....out through the mouth.

T

[Qwalla 132]

I am also waiting. Ugh...6 months of jumping through hoops and now waiting...the very worst. It has been almost 2 weeks. Office hasnt returned my call yet. Hurry up and wait...I suck at this game!!!

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[tlyons72 43]

We're in it together. Has your doctor's office said how long it takes to get scheduled after the approval?

I am also waiting. Ugh...6 months of jumping through hoops and now waiting...the very worst. It has been almost 2 weeks. Office hasnt returned my call yet. Hurry up and wait...I suck at this game!!!

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[Qwalla 132]

They said it could take 2 weeks. Thursday will be 2 weeks. Put in another call today. We will see if they call. Ugh.Keep me posted on your situation. Maybe we can keep each other positive. Good luck to you!!

[Shrinkinqtpi 202]

I too am in the wait for approval mode. The office manager in my doctor's office said that fast notice of approval is unusual and that a quick notification is generally a denial. I've decided to root for a longer wait so I can get an approval! No guarantees from the office manager but a new way to look at the process.

Edited June 29, 2016 by Shrinkinqtpi

[tlyons72 43]

This is a great way of looking at it! Well, there are 3 of us waiting, waiting, waiting. Hopefully it will go well for everyone and we can cheer each other on post op.

I too am in the wait for approval mode. The office manager in my doctor's office said that fast notice of approval is unusual and that a quick notification is generally a denial. I've decided to root for a longer wait so I can get an approval! No guarantees from the office manager but a new way to look at the process.

[biglady904 65]

I'm still waiting it will be 2 weeks tomorrow but I will keep all of you in my prayers I'm staying positive

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[doingitmyway 87]

Thank you. Praying for you also. I have been submitted for a week. My coordinator said she will check the status today. I have some personal issues going on so I already feel defeated. Praying and needing some good news.

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