Insurance has Until FOREVER???

[fatnurse 0]

That's right. Until Forever.

That's what my insurance told me. They have "forever" to decide on an appeal that I sent in on 10/08/07. Is that right? She said they have sent to the company I work for to see if they will pay for an outside agency to review and that they have for FREAKIN' FOREVER!!!! I"m SOOOO .

If anyone has ANY advise, please :help:.

[Ellisa 6]

I feel your pain. If we were substance abusers I doubt they would make us wait forever. It's discrimination and it isn't fair.

I'm waiting for pre determination. It's been sitting in their office for 4 weeks and they are too busy to even look at it or enter it into their database so that their own customer service department can see that it's there. ARRRRRRRRR

[fatnurse 0]

doesn't it make you sick? but what else can we do but wait. I have seriously thought about going to Mexico to get it done. Everything I have read seems very legite. We'll see.

Keep me updated on your progress and I"m gonna keep raising heck with insurance folks.

[Alexandra 55]

That's right. Until Forever.

That's what my insurance told me. They have "forever" to decide on an appeal that I sent in on 10/08/07. Is that right? She said they have sent to the company I work for to see if they will pay for an outside agency to review and that they have for FREAKIN' FOREVER!!!! I"m SOOOO .

If anyone has ANY advise, please :help:.

Depending on the state you are in, the carrier may have a statutory limit on how much time they can take to decide on a precert request. If any carrier said that to me, I'd call the state insurance department and find out what the law says.

Forever. feh.

[Annabelle 0]

Anyone have Medical Claims Services?

[fatnurse 0]

Depending on the state you are in, the carrier may have a statutory limit on how much time they can take to decide on a precert request. If any carrier said that to me, I'd call the state insurance department and find out what the law says.

Thanks for the info, but how would I contact the state insurance dept? I'm in Texas. Just google it or something?

Anyone have Medical Claims Services?

What's this?

[Sdaviscs 0]

You can also call the Insurance Commissioner for the state. I know that insurance companies don't like having that call made as it is a bad mark against them. Ask about the turnaround time to give yeh or neh and your recourse.

Insurance companies win...if we as individuals don't stand up for our rights. If we did pay them, they wouldn't be in business......We are the Client.

[lessnless 1]

Thanks for the info, but how would I contact the state insurance dept? I'm in Texas. Just google it or something?

The link you're looking for is Consumer Help from the Texas Department of Insurance

[fatnurse 0]

The link you're looking for is Consumer Help from the Texas Department of Insurance

Thanks for the info! I"m gonna try my best to fight.