Insurance Denials

[Beachladee3 74]

Hope this helps someone

Sent from my SM-G965U using BariatricPal mobile app

[Danny Paul 761]

Good info. Mahalo

[LadySin 404]

Ha! low paid HS graduates. f**k whoever wrote that because this **** is false. lol HIPPA compliance officer, you'd be better of asking for a supervisor. Any "HiPPA compliant officer" won't know jack **** about your case. Their sole job is make everyone's life hell by making us sit through hours of boring meeting every with the same information repeated; "Don't tell patient's business or the government will fine us a **** tone of money!" That's it. That's is. That is the extent of their job. They don't deal with patients. They don't handle requests. They don't know anything about you or your surgery.

As for the low paid HS bit. Don't confuse medical reviewers with customer service. There ain't no High School students reviewing a damn thing. Period. Nurses and Doctors only. I don't know who came up with this but it's a farce.

Do however ride you're Insurance companies ass as if your life depends on it! Because it does! Don't take no for a answer if you can help it! Here is the a real tip and secrete. Medical policy isn't black and white. It's still the RN or the MDs sole discretion in most cases. Sometimes that first denial came from an a*****e, or a "by the book consultant". When you appeal your denial, it cannot go back to the same reviewer. Thereby increasing your chances of getting someone feeling more favorable. As for your appeal to be expedited! It most cases you only have up to 10 days of the denial to request this. Expedited appeals have to be completed with 72 hours because uncle same says so! When they ask you if your life would be in danger if the appeal isn't expedited say yes! Say you're in unbearable, unmanageable pain!

I took this a bit personal but this is my career.