letter from Aetna

lonestar5212 · February 2, 2008

My documentation was submitted by True Results last week. Today, Sat., I got a letter from Aetna telling me they need documentation of my three month supervised diet. How could that have not been sent? That was the whole purpose of my going to the center for three months, so that the three month documentation would exist. Why would it have not been sent? So, because it is Sat., I get to live with this until 8am on Monday. Who should I call first, Aetna or True Results??

Glowgirl · February 2, 2008

I would call True Results, it sounds like they are the ones that dropped the ball. That bites.

lonestar5212 · February 2, 2008

I already left the girl who is handling my case at True Results a message, and I will be calling first thing Monday. I am so mad. I trusted that they would get this process right since they have done it a million times.

I am also going to call Aetna and let them know that I gave everything they are asking for to True Results who told me last Monday that everything would be sent to Aetna. I can't believe I have to wait til MOnday, I am shaking I am so upset.

lonestar5212 · February 4, 2008

I talked to Aetna this morning and they said that they did not receive my documentation, just like the letter stated. So I called the center and talked to the insurance girl submitting my stuff, and she said she faxed all 43 pages last week. So I called Aetna back and they said to have it faxed again. I called my center and had them fax it again. About 30 minutes again my surgery center phoned to tell me that they received confirmation from Aetna that it was received. I am also going to call Aetna after lunch and verify that they now have it. Aetna and my surgery center were both very cooperative once I was able to get human beings to talk to. Hopefully, when I call this afternoon they will confirm receipt of documentation and this moves forward. Now I just have to hope I don't get denied.

Sunwyse · February 6, 2008

You know its possible that both sides are telling the truth. Maybe it was all faxed to the wrong number to begin with?

lonestar5212 · February 6, 2008

I thought of that the other day and double checked the number it should have went to and checked to see what number it WAS faxed to. The numbers matched. Aetna apologized and said they don't know why this kind of thing happens, but it does sometimes. At any rate, just waiting for an answer now.

antsmith101 · February 6, 2008

I always think of it this way...

Working in a office, some people love to grab everything out of the fax machine if they get a fax and read top paper and probally couple below and then throw the rest on the desk and wait later to go through them.