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



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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!!!!

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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.

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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.

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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.

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