What's the dill, pickles?

[serenity55 15]

Hey lady77, my insurance company is Pacificare. They've been great up to this point. I've asked myself just why I'm doing this to myself, but something just won't let me quit! Go figure!

[aprilapple 1]

serenity, did u say that u called your dr. In march and u haven't heard back? Omg ! That is outrageous. Here's a thought: get a copy if your medical records find another doc that is a " friend to the process" and have them submit the info. My surgeons office has the job of getting my surgery approved. Not my PCP hmm

[serenity55 15]

Hey,

April, I'm sorry. I didn't make myself clear. I started the process in March, and just this past week, I got the responses from my service provider. I have been in touch with my doctor; as a

matter of fact I've been to see her a few times since I've started this process And that's what has me confused. I've heard lots of folks say that their PCP sends an referral to the surgeon. Mine doesn't seem to think she can do that. Is it because she has to have the authorization from insurance first?

[aprilapple 1]

Hey,

April, I'm sorry. I didn't make myself clear. I started the process in March, and just this past week, I got the responses from my service provider. I have been in touch with my doctor; as a

matter of fact I've been to see her a few times since I've started this process And that's what has me confused. I've heard lots of folks say that their PCP sends an referral to the surgeon. Mine doesn't seem to think she can do that. Is it because she has to have the authorization from insurance first?

Oh I see. My referral comes from my surgeon to my ins.co. I had to attend a free seminar by the surgeon(the surgeon would not see me otherwise) Then I had my initial consultation (there was $170 fee for this visit). It is at this visit that the ins. person at the surgeon's office told me my next steps. I had to do a six months visit with my pcp. At the end of the six months my pcp submitted the info to my surgeons office. The ins. lady at the surgeons office then submitted everything to my ins. co. for approval. I hope this helps:sneaky: