So Upset with Anthem

[Tory09 1]

Hi everyone,

I am so upset. I had my surgery on Thursday 10/22 and it was scheduled for outpatient meaning I could stay in the hospital if it was less than 24 hrs. I had waited almost a month for the drs office and the hospital to agree to outpatient only. The hospital used to not allow lb procedure as an outpatient. My drs office said they finally agreed to do outpatient procedures as of Oct 1. Well my lb procedure took longer and the surgeon had to repair a severe hiatal hernia, and do a liver biopsy. I endured terrible pain, nausea, vomiting, etc while I was in the hospital the whole time but they let me go and I had been on the unit for maybe 22 hrs.

When I was released to go home I told the nurse I was ready to leave and she said not to worry I was just in observance and not using all the 24 hrs.

Anyway when I got home today my insurance carrier sent me some standard form letter saying I was denied inpatient and they only approved outpatient. I called them and they said someone called the next day to get me inpatient status which this letter is saying they denied.

I told the rep I was outpatient the whole time and she said if that was the case then it would be paid. But this letter said my inpatient status was denied.

Has this happened to anyone else? I am so upset. Of course the hospital and the surgeons office was closed by this time.

Please give me any advice and send your prayers and good thoughts my way. I am trying not to flip out. I feel this letter has shortened my life by a few years since I got so upset when I read it...

Thanks for reading.:thumbup:

[Tory09 1]

I talked with the drs office and they said the surgeon accidently hit the wrong button as inpatient instead of outpatient. I was the first outpatient they had done over the last 5 yrs. The insurance specialist said she got the letter 2 days ago and immediately sent it to her billing specialist who cleared it up. I also confirmed with the hospital that they had it as outpatient and had a reference number and already submitted that to the insurance company. I was so upset about this last night but prayed about it and God took care of it.

[jessress87 0]

I talked with the drs office and they said the surgeon accidently hit the wrong button as inpatient instead of outpatient. I was the first outpatient they had done over the last 5 yrs. The insurance specialist said she got the letter 2 days ago and immediately sent it to her billing specialist who cleared it up. I also confirmed with the hospital that they had it as outpatient and had a reference number and already submitted that to the insurance company. I was so upset about this last night but prayed about it and God took care of it.

Shew!! Congrats! I bet you are relieved!!!