Jump to content
×
Are you looking for the BariatricPal Store? Go now!

Anybody Have Problems With Insurance After Surgeon Had Peer To Peer With Insurance Director?



Recommended Posts

I was told by my surgeon's office manager that my doc was having a peer to peer review with my insurance yesterday and that it is common. She assured me that I would get a phone call from the office in the afternoon. She made it seem as if my surgery date should not be affected. No phone call. I called and the answering service was on before the end of their hours of operation ended. I tried calling this morning, again answering service was activated during hours of operation. Finally, I reached an office rep and she told me the two ladies in charge of bariatric are not in but will be shortly. I just called and the answering service told me they are in a meeting until 1. I am so angry! My supervisor keeps asking me when am I leaving and expected to go out and I don't have a confirmation from these morons. I understand some patients don't work, but dammit I do. I can't just get up and leave my work piled up for someone else. I am trying to do as much as I can before I leave but this worrying and stressing is giving me a focusing issues. My mind is everywhere. I can't wait to get ahold of this office manager and I will definitely be complaining to many higher ups. UUUUUgggghhhh!!!!

Share this post


Link to post
Share on other sites

Did you try calling the insurance company? If everything went OK with the peer-to-peer, they should have the info and it should be in process on their side.

Share this post


Link to post
Share on other sites

Did you try calling the insurance company? If everything went OK with the peer-to-peer' date=' they should have the info and it should be in process on their side.[/quote']

I will try calling Monday. Thank you.

Share this post


Link to post
Share on other sites

I will try calling Monday. Thank you.

update:

I called my ins co Monday the 8th and found out some of my info was not sent to ins co. I called the surgeon's office and was told that info was sent. Not even an hour later I received a call that my denial was overturned and I am one wk postop today. Thank you for the advice. I feel great and can see the difference already.

Share this post


Link to post
Share on other sites

Create an account or sign in to comment

You need to be a member in order to leave a comment

Create an account

Sign up for a new account in our community. It's easy!

Register a new account

Sign in

Already have an account? Sign in here.

Sign In Now

  • Trending Products

  • Trending Topics

  • Recent Status Updates

    • rlcpd

      Two months out from hiatal hernia repair.  Surgeon said to expect a lot more flatulence...something about the 'air' no longer being able to 'burp' out so comes out the other end.  That is my experience but have no understanding of why that swallowed air cannot be 'burped'. ???
      · 1 reply
      1. BlondePatriotInCDA

        As I understand it since your stomach is smaller and not completely resting against your diaphragm anymore you no longer have the ability to "push" burps out as well. Plus, since its smaller and we don't digest slower the trapped air moves a lot quicker out of the stomach so its no longer available to burp out. Hence the other option for removal.

    • Lizette1122

      Anyone had the TORe procedure? How did it go? How much weight did you loose? 
      · 0 replies
      1. This update has no replies.
    • LadyVeteran1

      Sleeve surgery is on April 14th.  I am counting the days!!  Can't wait!
      · 3 replies
      1. Brookie2shoes

        Me too girl!! Are you in the full liquid diet right now? It’s sooooo hard!

      2. LadyVeteran1

        Not yet. I was told I only have to do 24 hours of a liquid diet. But I have my pre-op tomorrow so I’m going to confirm if I need to do longer.

      3. buildabetteranna

        Your so close now! It's gonna be great :) Wishing you a speedy recovery and looking forward to seeing how it goes!

    • buildabetteranna

      Down 33 lbs and slightly stalled, but I'm gonna reevaluate and push through. I started back to work last week after 2 years of being disabled due to mental health as well as my weight. It's a great job and I'm just so happy to have this opportunity at a second chance at life. Hope everyone is having their best journey ❤️ Together, we got this!
      · 2 replies
      1. DaisyChainOz

        Great work Anna! Keep it up 😁

      2. buildabetteranna

        Thank you ❤️

    • Bashbee91

      Hey guys new to the process looking forward to this new life. 
      · 0 replies
      1. This update has no replies.
  • Recent Topics

  • Hot Products

  • Sign Up For
    Our Newsletter

    Follow us for the latest news
    and special product offers!
  • Together, we have lost...
      lbs

    PatchAid Vitamin Patches

    ×