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

precertification problems



Recommended Posts

Ok... anyone else call their insurance about the status of their pre-certification? I called today just to make sure it was there never thinking it wouldn't have already been there because the woman called me 10 days ago. Ok fine.

They got the precertification today. TODAY!

I was told its going to take 2 business days from the date they got the clinicals in. ok fine....did they get the clinicals in? um....no... but that just means they haven't been uploaded and there's no real way to tell until monday.

back to 2 business days..... 2 business days=Feb 5...guess whose surgery is on Feb 5?

YEP

I'm a little pissy about having everything cancelled since I put in my pto and fulfilled every part that I was asked: the diet, exercise, the monthly visits to the nut, the psych, the ekg, bloodwork, stress test, buying all the post op meds, the liquid diet WITHOUT CHEATING. I've had this surgery date for 4 months!

But to know that I could have dinner tonight would make it a little less crappy.

It says right on my insurance card that my benefits will be reduced if I don't precertify and just who's going to cover that because they dropped the ball...me? yeah no.

I just feel like i've put a he|| of a lot of work in and to have the hospital fumble it this way pisses me off beyond belief right now.

lovely I'm in a full blown rant now. This weekend is going to suck.

Share this post


Link to post
Share on other sites

Maybe you can call your surgeon about it because that messes up their schedule also. Your doctor may be able to make sure your paper work is in place for Tuesday. Hope it all works out for you. Maybe you shouldn't mess up any pre-op diet since there still a chance you could have the surgery.

Share this post


Link to post
Share on other sites

Yeah I'm sticking w/ it through monday. but I really thought everything was far more certain than it feels right now. I'm just so disappointed.

Share this post


Link to post
Share on other sites

I am sorry this happen to you too! My surgery was 1/28 and canceled not because I didn't so something because someone (no one will take the blame) didn't file the paperwork correctly. No my surgery was rescheduled for this monday 2/4 and I'm still waiting for the approval again with all the right info this time! I can not trust anyone.but myself! I had to call myself to figure this all out too! Hang in there! I understand what you are going through!

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

    • BeanitoDiego

      I changed my profile image to a molecule of protein. Why? Because I am certain that it saved my life.
      · 0 replies
      1. This update has no replies.
    • eclarke

      Two years out. Lost 120 , regained 5 lbs. Recently has a bout of Norovirus, lost 7 pounds in two days. Now my stomach feels like it did right after my surgery. Sore, sensitive to even water.  Anyone out there have a similar experience?
      · 0 replies
      1. This update has no replies.
    • Eve411

      April Surgery
      Am I the only struggling to get weight down. I started with weight of 297 and now im 280 but seem to not lose more weight. My nutrtionist told me not to worry about the pounds because I might still be losing inches. However, I do not really see much of a difference is this happen to any of you, if so any tips?
      Thanks
      · 0 replies
      1. This update has no replies.
    • Clueless_girl

      Well recovering from gallbladder removal was a lot like recovering from the modified duodenal switch surgery, twice in 4 months yay 🥳😭. I'm having to battle cravings for everything i shouldn't have, on top of trying to figure out what happens after i eat something. Sigh, let me fast forward a couple of months when everyday isn't a constant battle and i can function like a normal person again! 😞
      · 0 replies
      1. This update has no replies.
    • KeeWee

      It's been 10 long years! Here is my VSG weight loss surgiversary update..
      https://www.ae1bmerchme.com/post/10-year-surgiversary-update-for-2024 
      · 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

    ×