I need help, insurance question

[Kathy1991 0]

Hello all,

I have had a rough day. Doctor couldn't find port for my first fill. Now I have found out that the person who files insurance at the bariatric surgery office did the pre-auth for the wrong procedure. She filed it for gastric bypass and of course, when I had my lapband done, they filed the actual charges for lapband. So, there is a discrepancy at Cigna. My charges are pending. Of course, we're talking about 26K here. They paid my doctor already but didn't pay for the the operating room and all the other expenses. I'm nervous. If it could go wrong with this organization, it has. I'm not trying to be a big old baby about this, but let's face it, in these economic times, this is not what any of us need.

Now I am stressed and I just want to grab the ice cream.

Any advice (besides 'don't eat the ice cream'??!! :thumbup:)

Thanks everyone!

Ks

[Susanbee 0]

you are not responsible for their mistake.....

[chicamam1 1]

my best advice to you I work at an insurance company, Iwould call and see exactly why its pending and for how long, I would ask them how long their preauth process takes and if there is anything you can help to submit to mak ethe process go by any faster. You want to ensure if its provider information they are waiting on. to hound your provider to get that information in. we only do benefit advisories but they only take 2-3 business days to review so definatly stay on top of it and im sure it will all be fine.