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Ooh Ooh Oooh!!

My surgeon's office submitted for approval after my visit last friday. I've been checking Humana's website for the approval status, and today it was listed as "Pended" with an effective date of 12/15/2011. I'm not sure what the effective date means? I'm sure hoping that maybe that's a date they submitted as a surgery date? I would LOVE that. I've actually been hoping for a Thursday surgery date, because that would make it so I only have to request one day off. When I work Thursday, I am off Fri, Sat and Sun. I'm hoping to be able to go back to work on Monday, if I have surgery on Thursday. I work at a hospital as a clerk, so the bulk of my job involves sitting on my tukus. I'm thinking that will work well with my recovery ;) So anyway- anyone else have any insight to an "effective date"??

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  • You may or may not be ready to go back to work in just four days. Don't count on feeling great for at least a week maybe more.

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Why not give them a call and ask them what it means? That way you'd know for sure.

Dave

You may or may not be ready to go back to work in just four days. Don't count on feeling great for at least a week maybe more.

I have a sedentary job too. I took off a full two weeks and went back to work on Monday. By the end of the day on the first two days, I was really sore from sitting in a office chair most of the day.

If I had to, I could have gone back sooner, but four days would have been too soon for me.

I had surgery on a Wednesday and tried to go back to work on Monday. I also have a desk job. Only made it a few hours and then got sent home. I did work from home Tuesday and Wednesday and then was able to make it in on Thursday. I would definately recommend a week for recovery.

I'm not sure what the pending status means, but I'm sure the billing dept of your surgeons office could answer that question for you. I guess I got lucky with the insurance approval process. The office called me at 10 am one morning to tell me they had everything they needed and that they had submited my case for approval to insurance that morning. Then they called back at 3pm to say I had been approved and could schedule my surgery in the next two weeks. 5 hours and I was approved!

If you don't get any answers from the surgeons office you can also try calling the insurance company. Mine is always good about answering questions, but I know some are not. But it is worth a shot :)

I had my surgery on Monday 11-14-11 and today being 4 days later I feel much better but I know I wouldnt be able to go back to work. I think you will need more time than just 3 days, because on my 3rd day I was still sore and not feeling like myself. I would call the insurance company and ask them what the pending date means. Good Luck!

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I called the insurance company, and they were very helpful. Apparently my surgery date is scheduled for December 15th. The "pended" status means they are still in the process of approving it. The woman I spoke to was very helpful, and updated all my demographic information, because she said if they hadn't been updated fairly recently, it will reject the claim. Not sure if that is true, but anything to make sure it doesn't get rejected for something stupid!

My surgery will be on a Thursday, which I'll need to take off. I think I will take the extra time off, but because of how my schedule falls that will mean that with two days off I'll be able to be off from the day before surgery until the next Friday. The main reason I'm hoping to get back as soon as possible is that we have a number of people out on medical leave already. I work on the OB unit of the hospital I'm having surgery at. I believe we will have 4 people out on medical leave at that time! I'd like to NOT add to the scheduling nightmare any more than I have to. Of course, if I don't feel up to it, I will be able to stay home. Either way, I have to be cleared by Employee Health to go back. That will give me the option of either returning or not. I'd just really prefer to not miss more than necessary.

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