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BEYOND FRUSTRATED - Wrong procedure code on approval letter

I have Aetna and it took forever to get approved. Approval finally came through verbally and I received the letter yesterday. The approval letter is for a band when I am getting the sleeve. I initially wanted the band but changed my mind half way through the process. Does this mean I need to resubmit? I am BEYOND frustrated. At first the insurance package wasn't submitted in full and now I am approved for the wrong procedure? I dont want to point fingers but I am super organized and had everything in order. This is also not my coordinator's first time at the rodeo so I'm not sure what the deal is.

Does anyones know if we are going to have to back to the approval drawing board? Waiting was SO stressful and involved additional letters -- if I have to do it again, I'm not sure my nerves can take it.

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approval letter is for a band- getting the sleeve.

@@avs194

soooooo sorry this happened :(

i understand you must be/are upset/disappointed, MAD

"maybe" cuz you initially spoke of the lap band, the confusion/mistake happened by the office/insurance :angry:

doesn't really matter why it happened - its done and over with :mellow:

mistakes do happen :angry:

that statement doesn't help you any

talk to the docs office/insurance "nicely"

i've learned that getting upset doesn't help the issue - even though THEY definitely screwed up!!! :angry:

as "they" say "you catch more flies with honey, than vinegar!!"

i "think" thats the right expression

you "probably" have to resubmit the paperwork, or docs office does :(

i can only imagine the stress/nerves you are experiencinge :(

hope things get smoothed out/taken care of

good luck :)

kathy

God Grant Me Patience Just Hurry Up About It!!!!

Edited by proudgrammy

  • 3 months later...

I completely understand your frustration! I just received my letter of approval from BCBS, and it is for the wrong procedure. Not sure who dropped the ball, but I hope it can get resolved quickly. I sent a letter to the insurance coordinator and copied in the doctor's nurse. Good luck to you and hopefully things will look brighter.

After anxiously waiting a week, I finally received my approval letter!

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