Grrrrr...venting


2 posts in this topic

I had soooooo hoped that I'd make it through this pre-surgical hoop-jumping without any major problems. But I called my insurance company today to make sure they'd gotten the pre-authorization and to see if they could give me an idea when they'd make a decision. Nope--they don't have any pre-auths on file for me.

So I called the surgical team, and after being passed to 4 different people and leaving a message at the last desk, I got a call from someone who told me they couldn't send in my pre-authorization because I still had to be cleared by "the team." Who hasn't cleared me that needs to? I asked. Well, it looks like I still need more NUT sessions and another psych appt. So I very patiently explained that my insurance company had specifically said they wouldn't pay for any more NUT sessions, and the nutritionist had told me 2 weeks ago that she was going to send in the pre-auth. Oh, no, young clerk explains, the psych also has to sign off. But 2 1/2 weeks ago, she specifically told me she was not going to require that I come back in because I was done with the NUT and it seemed unnecessary to her for me to travel 2 hours just to "check in" with her one more time--I explained to the clerk.

I had to go through it twice more before she seemed to understand that perhaps this was different from their usual process, because the insurance company standards were different. I assured her that I have no problem with making more appointments, but I need to know that A) they are necessary, and B.) my insurance company will pay for them. She said she'll check with the psychiatrist and get back to me.

So I know it's not the end of the world. But I had really hoped that if there was going to be some incompetence to be overcome along the way, it would come from the insurance company and not my surgeon's office. :unsure:

OK, venting done. I feel better now.

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I just wish insurances would get on the same page with everything. Like they have all the information put into the computer why is it so hard?


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