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BCBS TX Approval



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I know that I have posted this topic before, but the waiting is killing me! I am having a revision surgery, lapband to bypass. My paperwork was submitted to the insurance company on 03/14/2018. I have called every day since then asking about the status of the pre determination. I've been told that it takes up to 30 days. Has anyone had it approved in less than 30 days?

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On 3/26/2018 at 6:32 PM, Brttnyj89 said:

I know that I have posted this topic before, but the waiting is killing me! I am having a revision surgery, lapband to bypass. My paperwork was submitted to the insurance company on 03/14/2018. I have called every day since then asking about the status of the pre determination. I've been told that it takes up to 30 days. Has anyone had it approved in less than 30 days?

30 days is the insurance standard turnaround time. Yes, it can be approved before but it all comes down to the amount of cases the clinicians have to review. Of course if there is any missing clinical info that can delay the process.

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On 4/1/2018 at 12:04 AM, shelleycakes said:

30 days is the insurance standard turnaround time. Yes, it can be approved before but it all comes down to the amount of cases the clinicians have to review. Of course if there is any missing clinical info that can delay the process.

On 3/26/2018 at 10:33 PM, frust8 said:

Yes but they had BCBS in other states. Its like every state has their own franchise

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So this is where is where Is stand now. I have called every day since my paperwork was submitted. Some days I have called twice a day. Today I spoke with a very nasty lady. I asked if she could tell me anything about how much longer the process would take, her response was "Well, like I've told you the past 8 times I have no idea!" I asked to speak to her manager after she was so rude. Now my predetermination has been escalated. I'm just beyond frustrated at this point.

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Well good news is you're coming up on 3 weeks since being submitted so they should have a decision soon, especially since its been escalated now.

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