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Anyone having surgery in Durham, NC?



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I am having surgery in Durham, NC. Just wondering if anyone else was having surgery there. My date is August 27.

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Duke?

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Yes

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Duke is an amazing place in every way.

One of the top medical facilities in the world.

You are sure to be in the best of care. I'm jealous. :D

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I will have mine at UNC Rex Hospital!...but i just finished my 6months weight in tuesday and paper works should be on its way for insurance submission and im soo nervous!...i was denied already on my 3rd month weight in for "contract exclusion"....ughhh im sooo worried it will deny again????

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Did u have to do 6 months?...how long uve been waiting for ur approval?..when did u complete your requirements?....what insurance do u have?...ya dr sharp is super nice but our the surgery coordinator has to do their job too and not sure if they are 100% on our paperworks...thats why i went there cuz they said they have the best insurance specialist thats on top if all paper works..the first denial i have i feel like they didnt do alot of research before they submitted to my insurance thats y i was denied...their reply was like oh i never "worked on such insurance like ur"...im like ok but my insurance is like one of fhe common out there...bcbs!

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So no I did not have to do a 6 month waiting period. They just sent my stuff off this week and they state that it could take 2-3 weeks to hear back from BCBS

I completed my last requirement, which was my last support group, 8 days ago

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Mine is a lil bit confusing but its really the clause that my compnay has on our benefits...my homeplan is bcbs of florida but we work here in nc. We submit all medical claims to bcbs of nc but our company follows bcbs south carolina guidelines cuz its cheaper for them!...ya i know i thought my paper works will be file to nc and will follow the bcbs nc requirements which is no wait and no cluase on benefits!....so basically, bcbs nc benefits and requirement is much easier than ac bcbs..... I found this out when during my first denial....this is why i have to do the 6 months because it is required by SC BCBS requirements unlike NC bcbs!...i just really hope they dont give me a hard time this time cuz i completed my 6months and all other stuff from dr sharps requirements.

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Lol sometimes i dont like to read stuff in here specially when i read and see other ppol having same issue or worse experiences with their insurances...lol it stresses me out more when i read other ppols negative experiences.....it sucks cuz we pay our insurances and when we need their aid, they try to scrutinize everything!.,,ughhh!...killing me!...the wait is bad enough and then more hurdles from insurances!...

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Well I keep telling myself that if its meant for me to have this surgery, God will make a way and I will be approved. I know the waiting game sucks, but just hang in there!

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    • BeanitoDiego

      Oh yeah, something I wanted to rant about, a billing dispute that cropped up 3 months ago.
      Surgery was in August of 2023. A bill shows up for over $7,000 in January. WTF? I asks myself. I know that I jumped through all of the insurance hoops and verified this and triple checked that, as did the surgeon's office. All was set, and I paid all of the known costs before surgery.
      A looong story short, is that an assistant surgeon that was in the process of accepting money from my insurance company touched me while I was under anesthesia. That is what the bill was for. But hey, guess what? Some federal legislation was enacted last year to help patients out when they cannot consent to being touched by someone out of their insurance network. These types of bills fall under something called, "surprise billing," and you don't have to put up with it.
      https://www.cms.gov/nosurprises
      I had to make a lot of phone calls to both the surgeon's office and the insurance company and explain my rights and what the maximum out of pocket costs were that I could be liable for. Also had to remind them that it isn't my place to be taking care of all of this and that I was going to escalate things if they could not play nice with one another.
      Quick ending is that I don't have to pay that $7,000+. Advocate, advocate, advocate for yourself no matter how long it takes and learn more about this law if you are ever hit with a surprise bill.
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