Drama Cont. With Cigna
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ok so i did everything i was suppose to and i was denied right away so yesterday i finally found out why...I'm going through memorial hermann hospital here in houston well cigna said its not a contracted bariatric place of excellence but they are they are dual certified so the lady look up the hospital and my dr. name and said they are showing up in the system as being a place of excellence so she put me on hold to talk to someone in the approval department well to find out it's and error in cigna system on the name of the hospital and how it was entered in their system so Memorial Hermann Hospital is a place of excellence but not contracted for bariatrics and she said it says that Memorial Hermann Hospital System (MHHS) is so someone added system to the end of the hospitals name???So i was like how can this get fix and she told me she wasn't sure and she has to talk to her supervisor make them aware of the problem and take it from there...so i have to decide if i want to wait around to see if this gets fixed or do i start looking for a different dr. I mean would i be able to transfer everything i did to a new dr. or do i have to start all over again...I'm waiting for my coordinator to call me back so i can find out what my options are but last time i talked to her she asked me to wait a little longer because the hospital was talking with cigna to work out what ever problems there was but this was before i found out about the issue with the name...I also want it done before January so I don't have to pay for all this out of pocket expenses again...this has me going crazy
but i did find out through my dr. office im not the only one someone else that has cigna and thats from the same company my husband works for was also denied for the same reason so I thought that was weird....