SO Frustrated! UHC

mom007 · February 8, 2008

OK, my paperwork was submitted on Jan. 29th and I've been not-so-patiently waiting for approval. I've been calling every day. Well, I called this morning and was told my claim was denied because the Dr.'s office submitted it with an out of network Dr. and facility. WTF?!?! They knew what my insurance was on my first visit. They made me choose which of their surgeons I wanted to use on my first visit. I figured they would know which of their Dr.'s were in my network and let me choose one of them and be smart enough to submit it with an in network Dr. Apparently not.

So I called the Dr.'s office and they're going to resubmit it today with an in network surgeon, Dr. Marsden, and different in network facility. Otherwise my insurance said it was covered, just as long and it's all in network. So I'm going to call them back late this afternoon and see if they got the resubmit and if I can weasel an approval out of them today. Good luck with that!

UGH! Just had to vent. But was wondering if this had happened to anyone else?

:tongue2::cursing::drool::cursing: :blush: :cursing::wub::cursing::tt2::cursing::cheers2::cursing::iagree::cursing::lurk5::cursing:

Ellisa · February 8, 2008

Well at least you found out early on, about a week? And that it will be approved. You'll be a banster soon!

mom007 · February 8, 2008

I've calmed down a little now. I guess it was just frustrating and I needed to vent. I'm not mad at UHC, they told me that the procedure was covered, just not with the out of network Dr. and facility that they submitted it with. So as long as the Dr.'s office gets the right Dr. and facility submitted today it shouldn't be very long at all.

I'm just in a rush because if I can't get this done by the 20th, I'll have to wait until the end of March or first of April, because of my work situation.

All better now.........

Ellisa · February 8, 2008

I understand the waiting frustration, I think that was the absolute hardest part for me. But once I got my approval and the light was at the end of the tunnel, it got better. I hope it all works out for you to have it this month.