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  • Entries

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Entries in this blog

Didn't realize how long it's been since I've been on here.   Well, towards the beginning of June I received my loan money & paid the individual fees to Harrison Hospital, Olympic Anesthesia, and Pacific Surgical. Also sent all the consent forms, etc.   Heard from Michelle after she got the paperwork & she set me up for 7/27.   Got a call from the anesthesia folks for a pre-op appointment. Set it up for 7/21.   My husband started work at his new command in June. I think he was
Last Wednesday (the 21st) I called St. Francis & spoke with Karen. I asked her to cancel my endoscopy that was scheduled for 4/28 and the follow-up a week later.   She said she'd do that.   I didn't get a warm fuzzy feeling that it would be taken care of though. That feeling kept nagging at me so by the time Sunday rolled around I decided to call & leave a message to confirm the cancellations.   I said "I'm calling to confirm that two of my appointments have been canceled.
I had a consultation with Dr. Neal at Pacific Surgical today. Yay! He has a skeleton crew at the Bremerton office, so the lady with all the nitty gritty details will call me tomorrow to go over everything.   He answered all of my questions & looked over my new patient form as we talked. He was super nice!   After my brief experience with the way Dr. Oh does things, I was relieved to hear the amount of pre-op work that Dr. Neal wants.   He told me that most patients do a full l
I spent the better part of the weekend crying about the turn of events in my WLS saga. I talked to my DH about it (more than he wanted to hear I'm sure! ) He said that we could take a loan through one of his retirement savings accounts so I can still follow my dream :wub: I've always known that I'm a lucky girl to have trapped a good man like him! :tt2: I love him more & more every day. He knows the score with obesity. His dad has type 2. His mom had bypass surgery abo
I missed a call from Karen on 4/14. She called right before 5pm. She said she'd be in the office until noon the next day & to call so she could go over the insurance info w/ me.   Almost made me question whether I was hearing from the same lady I spoke with before...this one was kind of nice. ??   I missed her by a few minutes the next day so I left a message.   Didn't hear back from her so I called today and finally spoke with her.   Ugh.   The way she was talking at first w
In today's mail I got two letters from the insurance company. One was the written denial of surgery...the other was the approval of one pre-op test & a few office visits.   Cute.   The approvals were done about a week ago, but the denial was entered um, yesterday. Yep, 24 hours later I'm actually holding the mailed letter in my hot little hands.   So they drag their feet on mailing approvals, but are all over it *thisfast* when there's a denial. Super!   I really hope it's going
I logged in to check on the status of my claims & authorizations today.   24 hours after the request for surgery popped up on the screen, it now says "not approved" and "does not meet requirements".   I'd like to know exactly what requirements I don't meet. According to my surgeon, pcm, and my own knowledge of my body, I surely do meet requirements.   My friend who has the same insurance and went to the same surgeon for a band in February, was 1/4" taller than me and 3lbs heavier wi
So I logged in to see what's going on with my insurance claims & referrals today.   I saw that there were four separate requests for surgeries rather than just one. So, do they have to spell out what they're asking for & cast a wide net by specifically requesting "bypass, v-band, rny, & LAP-BAND®"? Is that the way they do it?   I really hope that's how it's s'posta go & one of 'em "sticks", although I really do not want one of the procedures that actually rearrange your gut
So, since my husband has a few days off before leaving on his partial deployment I wanted to try & squeeze in some of the appointments on Dr. Oh's list.   Not so fast.   I called the office today & spoke with Karen. (I think that was her name.) She told me that I was only partially approved by the insurance. Super. I thought I was good to go for the whole dealy-o.   I take it that they only requested approval for the first few things - consultation, endoscopy & follow-up, an
I think I might be approved! I sure hope it's not an April Fool's Day joke   I've been checking on triwest.com to keep tabs on my claims & pre-approvals. The claim for my consultation showed up on 3/29 and as of today, still says "in-process".   Today listings for "office consultation", "esophagus endoscopy", and "office/outpatient visit x3" popped up in the authorization & referral status area of the site. All three things were marked "approved".   Could it be true? Ma
Today I had my much anticipated Lap Band consultation at Dr. Oh/Dr. Hirai's office in Federal Way. Oy vey! I forgot to double check to see where I actually needed to go! There were several phone numbers and addresses listed on the paperwork from the seminar. I tried to call before I left the house, but it was during the lunch hour - they don't answer the phone between 12pm & 1pm... I decided I'd go to the address for a clinic that's a few blocks from the main hospita
I thought I could skip a visit to my Primary & charge straight ahead to my LAP-BAND consultation.   At the last minute, I panicked. I called to squeeze in an appointment with my Primary & had to move my LAP-BAND consultation for the week after that.   I want things in this process to go as smoothly as possible & I knew that Dr. Hirai's office requires a thumbs up from your Primary.   I've got "issues" with visiting the doctor so I try to put it off unless necessary...   D
I attended a seminar with Dr. Hirai on March 3, 2010.   Pretty much the same info that I received at the seminar I attended with Dr. Neal at Pacific Surgical back in 2006. Insurance wouldn't cover a band back then, Pac Surgical doesn't accept my insurance, and I couldn't pay out of pocket at the time, so I couldn't go any further...   At the end of the seminar I ran up to the front to put my name on the list for a consultation appointment!   I hope everything will go smoothly & thi

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