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Insurance approval time frame?

I found out on Wednesday that my paperwork is finally being submitted!!! Yipee!!! I feel like I have been the one to keep calling the office, inquire on the status of the paperwork and such... and finally the day is here and it's been submitted.

I know that by law, they need to give the insurance company 30 days max, but my question is....realistically how long did it take for you to get approved from the insurance company, or denial from your company?

Thanks,

Anxious in TN

Cindy

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Mine took 10 business days once it was submitted..Blue Cross/anthem. Nothing says you can't call your provider and verify that they haveeverything they need to make a decision. Then ask when you might expect them to approve it.

Approval for me came in under 24 hours from the time that the doctor's office submitted it to KHPE. :eek:

I was very lucky....I have bcbs of IL and my paperwork was turned in on Monday Nov 1 and Nov 4, I was approved!! Yippeee I give a lot of credit to the girls at the dr office that knew exactly what to do!!!

Ausbracal,

I have bcbs of IL too (Blue Advantage) this is good to know. I just had my psych appt yesterday and he will submit his report to dr on Monday. Hopefully by midweek, I will have an answer!

I have BC/BS HMO Blue Advantage, and the actual approval for the surgery after everything was submitted took less than 24 hrs :eek: I was told by my surgeon my medical group turned it around pretty quickly if they had everything. The slow part in my whole experience with this was my PCP office... since everything had to go thru them, being HMO, I trusted they'd do it TIMELY. Didn't happen unfortunately but hey, it's done and they will have a nice complaint letter coming to them after I am healed and feel up to writing that...

  • Author

Thanks for the information. I appreciate you all taking the time to respond. I guess I am getting anxious. my insurance is BCBS of NC... I hope they are as quick as yours were!

After you got approved, how long did it take to be scheduled for surgery?

Cindy

I was very lucky....I have bcbs of IL and my paperwork was turned in on Monday Nov 1 and Nov 4, I was approved!! Yippeee I give a lot of credit to the girls at the dr office that knew exactly what to do!!!

Omg I have BCBS IL too! I hope mine takes that quick for approval. Just called my insurance and they received it yesterday...I hope they will approve soon :) Can I ask where you are getting your surgery done at?

I was just told I may not be approved because I have no Dr. records for 08 and 09. I didn't go to the dr. But I was just diagnosed with diabetes and high colesterol and I have asthma, that should be enough. Very frustrated!!!! I really hope I get approved I have been so excited to get started, they really should approve you before we go through all of this and then let down:frown:

I turned in my paper work Mid Sept but made the mistake of being patient, and got frustrated last week called got no call back called again today and turns out I'm approved, I think if I'd called 3 weeks ago I would have gotten the same answer I just wasn't pushy enough.

  • Author

That is my concern as well. I don't have any medical records from '06. My fingers will be crossed until I get word!

Thanks for the information. I appreciate you all taking the time to respond. I guess I am getting anxious. my insurance is BCBS of NC... I hope they are as quick as yours were!

After you got approved, how long did it take to be scheduled for surgery?

Cindy

I have BCBSNC also! Mine was submitted yesterday, so I'm hoping i will hear something very soon. Let me know when you hear something and I will let you know about mine. When was your submitted?

I just finished my appts today. Found out my Dr never faxed my med history in! They said they faxed him a request for it. I have appt with him today and will inquire about it!

  • Author

My information was sent into the BCBSNC last Wednesday, Nov 3rd. I am still waiting. I ran into the insurance specialist from the dr office at the grocery store last night, she said still no word. She also said that she is currently scheduling surgeries for Nov 22 right now. She also mentioned that the week before Christmas the Dr. is going to be out of town!!! This all makes for a smaller and smaller window of time for getting this done this year!!!

Let me know when you hear from BCBSNC. Have you called them? I haven't. I guess I'm 'trying' to be patient!!!

I was finally approved yesterday!!!!! So excited!!! My surgery is set for the 16th.

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