Insurance won't acknowledge request

[dlm94 0]

My insurance company, BCBS of MA, will not acknowledge receipt of the REQUEST for surgery! My surgeon has this uber-organized, insurance wiz, that has put together all the appropriate paperwork and has faxed it 4 times over last 2 weeks. This is so frustrating! I had really hoped to have this surgery in Dec, because our family has met our ins deductible (first time ever). Now, figuring in a 2 week pre-op diet and that doctor's office closes for 2 weeks for holidays, I'm sunk. I wish I had some sort of faxing bot that would crank off continual faxes to all departments, all day, until they admitted having it? Just a little revenge fantasy.:tongue2: I have logged every phone call, asking if they've received it, and confirmed the fax number each time. Any other advice?

Edited December 2, 2009 by dlm94

[Yvette1026 0]

Ask for a rapid resolution specialist, get their email, and personal fax, get a copy of the paperwork from your dr's office provide them with the RRS's info and then send it yourself. BCBS have people that this is their job to handle escalated issues. Usually can be done within 72 hours. There's still time, don't give up yet. You can also call the Prior-Auth department and ask them what the hold up is, get their info as well and send it to them directly. This way they have it coming at them from all angles. You, your doc and the RRS

[ElfiePoo 109]

Forget the fax. Find out who the paperwork needs to go to and send it registered mail so they have to sign for it.

Then if they ignore it, turn them in to the state insurance board. If you've met your deductible for the year and were planning on getting it done this year so you won't have any more out of pocket, I'd be tempted to threaten them with the state board since it appears they're deliberately delaying your surgery to save money.

Remember...the squeaky wheel gets the attention.

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