SMH..Is it the Dr. office or BCBSIL

[A. Stoot 85]

I had my first appointment on June 9, I was told by my Dr office that my insurance only required the phys evaluation and the nutrition evaluation which I did both on June 16. I was thinking that because all my insurance required were the two evaluations that my paperwork would be submitted, BUT today after speaking with BCBSIL, they haven't received any paperwork so I called my Dr office who then tell me that I have to complete my cardiac and EGD (July 10) before they proceed to my insurance. So I guess I am confused, is it my Dr office (who gave me the forms stating that my insurance only required the two), or do BCBSIL also require all to be done before approving?

[pjpanda 129]

I have bcbs of AZ and my insurance approval was submitted before the cardiac and egd.

[A. Stoot 85]

Thanks pjpanda, that's what I figured because my original paperwork for the insurance only stated the two evaluations...I think my Dr office is overwhelmed with patients, but they could have just been honest with me.

[Mellyb251 30]

I have BCBSnj and they didn't require a egd for approval nor has it ever been mentioned to me- mine was just submitted Wednesday so I'm in the waiting phase. Once I'm approved I know that the hospital will require further testing before the surgery. I have not had the best experience with my doctors office and surprisingly a good experience with my insurance, so I would call your insurance to find out if they do require it.

[Jersrose43 837]

Remember evry state bcbs is different.