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Insurance says I'm approved but doctors office says no word yet

Question?

Has anyone run into the situation where the insurance company says you're approved but the doctor's office says they haven't heard anything yet?

I recently completed my 6 month supervised weight management and faxed info over to my doctors office. The doctor told me they would submit last Friday but they submitted on Thursday, March 6th. Out of curiosity I called the insurance company to make sure the doctor had submitted and was told I was approved for 2 nights, April 14 & 15. I called the doctors office yesterday to find out what else I needed to do and was told still no word yet and that it was just submitted and I should wait. Does it take a while for the insurance company to submit paper work back to doctor's office? I'm probably just being anxious but inquiring minds want to know. Also, is the date the insurance company gives you the date that surgery will definitely take place? How did this part of the process go for you guys and what were the next steps for you? Questions, questions, questions

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Your insurance company probably did not send the approval to your doctor yet. My surgeon's office had a coordinator that you could contact to ask all kinds of questions. The coordinator followed you thru the whole process.

I called my Dr. office and told them I had been approved, they called the Insurance and got referral # and scheduled surgery that day for two weeks away

The dates are probably not set in stone. I just recently had back surgery, my insurance company needed a date of service before they could approve me. The doctor's office told them feb 18 and i actually had my surgery on the 20.

  • Author

Well guys, still no word from the clinic yet but hopefully they will be calling me soon with the next steps of the process. Anxious!

Did you call the clinic??

  • Author

Yes I called yesterday but today. I am planning to call back around 3 today. They just keep saying they have no word from the insurance company yet. It's kind of frustrating when you have called and been given the green light and the clinic stalls you.

That does indeed. They are waiting for the paperwork cause they are too lazy to call the insurance and get #'s....

  • Author

I called my insurance company and got them to fax over my approval letter, then faxed that over to the doctors office and wouldn't you know... testing monday 3-17, education class 3-21, surgery date 3-31-2014... she is faxing over my 2 week pre-op diet plan today and said to start that on the 17th also...Beyond excited and terrified too.

Wow!!! Im soooo happy for everyone...i am still waiting on an aporoval been over week! At least you know your APPROVED

  • Author

Thank you all! Hope those of you that are still waiting for approval get word soon. I know it can be frustrating.

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