Guest guest Posted July 19, 2002 Report Share Posted July 19, 2002 In a message dated 7/19/2002 9:29:57 AM Pacific Daylight Time, iammichelle@... writes: She said she had already faxed the insurance co and was going to call them on Wednesday , We faxed her our LOMN too and she said she faxed it to the insurance co...but they asked for more info on the helmet..and she told me they denied me... Just keep on top of her and make sure she calls on Wednesday. If you don't hear from her on Wednesday..i would call her.b/c she's told us that she will contact the insurance company...and then when i call her back to ask if she did..she's like..oh..i'll do that right now. So she's either forgetful or uncaring. So just keep checking with her. I don't know what is up with her..but i am so mad..b/c i contacted her July 10th and this is ongoing until now...and it shouldn't be this way. Thanks Mom to Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 19, 2002 Report Share Posted July 19, 2002 , Thanks! Yea i'm just real frustrated..b/c they might've paid..and she just straight out said they denied me..and this is the second time she did that. Like she wants me to pay and she can take away all my money. She was nicer to me last time i talked to her..but i told you..the first few times..she was not very nice. But her being nice to me doesn't make up for the fact that she lied. She should not be doing the job she is doing...b/c she is not very good at all. I think i will contact someone higher..b/c if they would've paid..i would've needed an appt before Aug 1st...but now it's too late..b/c they don't ahve anything before. But they did have an earlier appt when i first contacted her. I haven't ever met her in person..but i bet she won't talk to me then either. Anyway, Thanks!! mom to In a message dated 7/19/2002 9:28:32 AM Pacific Daylight Time, taime@... writes: , I am so sorry, that your having to go through this. This really stinks! I wish there was something I could say to you to make you feel better. I'm so sad for you. Maybe you should contact someone higher up at CT and let them know what is going on?? Anyway, at least Wanda talks to you... I don't get a hello or a goodbye. She'll walk passed me in the hallway and not say a word. The only time she speaks to me is when I have to make another appt. Oh well. Please keep us posted on what's going on!! Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 19, 2002 Report Share Posted July 19, 2002 , I am so sorry, that your having to go through this. This really stinks! I wish there was something I could say to you to make you feel better. I'm so sad for you. Maybe you should contact someone higher up at CT and let them know what is going on?? Anyway, at least Wanda talks to you... I don't get a hello or a goodbye. She'll walk passed me in the hallway and not say a word. The only time she speaks to me is when I have to make another appt. Oh well. Please keep us posted on what's going on!! > Ok...Wanda from the Paramus office...is getting me so frustrated. > > The first time she called my insurance company (anthem)...she called us back > to tell us they denied us. When my husband called Anthem...they said they > did not deny it...she didn't follow the proper procedure and didn't get in > touch with the right department and didn't give info. > > Well..we told Wanda and she said she would call the right person. The very > next day she calls me back and says she did call the right dept this time and > they denied us again..and we will receive our denial letter. > > Well we decided then that we will make the appt for after August then and go > with the new insurance that would be taking over (Guardian) b/c we would > probably have better luck with them. > > Well today i get a letter from Anthem...stating that they requested info from > Cranial Technologies so they can review it and make a decision..and they > haven't received it..so we have 30 days to send it in so they can review it > and make the change. Not a denial letter...Wanda had said that she gave them > the info...i think she faxed it or just verbally told them...but she said > they denied the claim. They didn't.....they just need more info. This is > the second time she told us they denied our claim and they didn't. And now > it's too late (when they probably would've paid_) b/c our appt is for Aug 1st > which is when we switch to the new insurance. > > I am just so frustrated with her..b/c why twice did she tell us we were > denied when we weren't? Does she want us to pay out of pocket? And the > insurance company won't talk to us...they said she has to be the one to > contact them and send the info in. So now we might've had it paid..and > Guardian (the new insurance) may pay..but who knows. > > Sorry..just had to vent. Wanda was much nicer the last time i talked to her > than the first few..but now i'm more angry with her than i was...b/c she lied > and i don't know why. I mean i want to believe that she misunderstood..but > she does this daily..so shouldn't she know what she is doing and what > insurance companies tell her?? How can she misunderstand needing more info > for a denial? > > Thanks for listening... > > > Mom to Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 19, 2002 Report Share Posted July 19, 2002 , That stinks! I just called her to make sure she got my script and LOMN yesterday. She said she had already faxed the insurance co and was going to call them on Wednesday. I don't know why she is such a problem in your case. I am really sorry, I hope she doesn't mess my insurance up as well! -/Logan 5 1/2 months PA > Ok...Wanda from the Paramus office...is getting me so frustrated. > > The first time she called my insurance company (anthem)...she called us back > to tell us they denied us. When my husband called Anthem...they said they > did not deny it...she didn't follow the proper procedure and didn't get in > touch with the right department and didn't give info. > > Well..we told Wanda and she said she would call the right person. The very > next day she calls me back and says she did call the right dept this time and > they denied us again..and we will receive our denial letter. > > Well we decided then that we will make the appt for after August then and go > with the new insurance that would be taking over (Guardian) b/c we would > probably have better luck with them. > > Well today i get a letter from Anthem...stating that they requested info from > Cranial Technologies so they can review it and make a decision..and they > haven't received it..so we have 30 days to send it in so they can review it > and make the change. Not a denial letter...Wanda had said that she gave them > the info...i think she faxed it or just verbally told them...but she said > they denied the claim. They didn't.....they just need more info. This is > the second time she told us they denied our claim and they didn't. And now > it's too late (when they probably would've paid_) b/c our appt is for Aug 1st > which is when we switch to the new insurance. > > I am just so frustrated with her..b/c why twice did she tell us we were > denied when we weren't? Does she want us to pay out of pocket? And the > insurance company won't talk to us...they said she has to be the one to > contact them and send the info in. So now we might've had it paid..and > Guardian (the new insurance) may pay..but who knows. > > Sorry..just had to vent. Wanda was much nicer the last time i talked to her > than the first few..but now i'm more angry with her than i was...b/c she lied > and i don't know why. I mean i want to believe that she misunderstood..but > she does this daily..so shouldn't she know what she is doing and what > insurance companies tell her?? How can she misunderstand needing more info > for a denial? > > Thanks for listening... > > > Mom to Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 19, 2002 Report Share Posted July 19, 2002 Please let us know how it turns out with Anthem. I live in Connecticut and they deny us saying it was experimental. We are getting our appeal together. Good luck. -- In Plagiocephaly@y..., Av@a... wrote: > Ok...Wanda from the Paramus office...is getting me so frustrated. > > The first time she called my insurance company (anthem)...she called us back > to tell us they denied us. When my husband called Anthem...they said they > did not deny it...she didn't follow the proper procedure and didn't get in > touch with the right department and didn't give info. > > Well..we told Wanda and she said she would call the right person. The very > next day she calls me back and says she did call the right dept this time and > they denied us again..and we will receive our denial letter. > > Well we decided then that we will make the appt for after August then and go > with the new insurance that would be taking over (Guardian) b/c we would > probably have better luck with them. > > Well today i get a letter from Anthem...stating that they requested info from > Cranial Technologies so they can review it and make a decision..and they > haven't received it..so we have 30 days to send it in so they can review it > and make the change. Not a denial letter...Wanda had said that she gave them > the info...i think she faxed it or just verbally told them...but she said > they denied the claim. They didn't.....they just need more info. This is > the second time she told us they denied our claim and they didn't. And now > it's too late (when they probably would've paid_) b/c our appt is for Aug 1st > which is when we switch to the new insurance. > > I am just so frustrated with her..b/c why twice did she tell us we were > denied when we weren't? Does she want us to pay out of pocket? And the > insurance company won't talk to us...they said she has to be the one to > contact them and send the info in. So now we might've had it paid..and > Guardian (the new insurance) may pay..but who knows. > > Sorry..just had to vent. Wanda was much nicer the last time i talked to her > than the first few..but now i'm more angry with her than i was...b/c she lied > and i don't know why. I mean i want to believe that she misunderstood..but > she does this daily..so shouldn't she know what she is doing and what > insurance companies tell her?? How can she misunderstand needing more info > for a denial? > > Thanks for listening... > > > Mom to Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 19, 2002 Report Share Posted July 19, 2002 Eek !!! I can understand how and why you are so frustrated! Did you ask Wanda for a name, time, date of who supposedly told her they would deny pymt? I would ask her that, becuz I know the right hand doesn't always know what the left hand is doing with big insurance companies. That's why it's so important to document EVERY thing whenever you have contact with them. Wanda hasn't had many good things said about her in our group recently. I'm glad I'm not her right now . Sorry hun. Hang in there. Debbie abby's mom DOCGrad MI > Ok...Wanda from the Paramus office...is getting me so frustrated. > > The first time she called my insurance company (anthem)...she called us back > to tell us they denied us. When my husband called Anthem...they said they > did not deny it...she didn't follow the proper procedure and didn't get in > touch with the right department and didn't give info. > > Well..we told Wanda and she said she would call the right person. The very > next day she calls me back and says she did call the right dept this time and > they denied us again..and we will receive our denial letter. > > Well we decided then that we will make the appt for after August then and go > with the new insurance that would be taking over (Guardian) b/c we would > probably have better luck with them. > > Well today i get a letter from Anthem...stating that they requested info from > Cranial Technologies so they can review it and make a decision..and they > haven't received it..so we have 30 days to send it in so they can review it > and make the change. Not a denial letter...Wanda had said that she gave them > the info...i think she faxed it or just verbally told them...but she said > they denied the claim. They didn't.....they just need more info. This is > the second time she told us they denied our claim and they didn't. And now > it's too late (when they probably would've paid_) b/c our appt is for Aug 1st > which is when we switch to the new insurance. > > I am just so frustrated with her..b/c why twice did she tell us we were > denied when we weren't? Does she want us to pay out of pocket? And the > insurance company won't talk to us...they said she has to be the one to > contact them and send the info in. So now we might've had it paid..and > Guardian (the new insurance) may pay..but who knows. > > Sorry..just had to vent. Wanda was much nicer the last time i talked to her > than the first few..but now i'm more angry with her than i was...b/c she lied > and i don't know why. I mean i want to believe that she misunderstood..but > she does this daily..so shouldn't she know what she is doing and what > insurance companies tell her?? How can she misunderstand needing more info > for a denial? > > Thanks for listening... > > > Mom to Quote Link to comment Share on other sites More sharing options...
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