Guest guest Posted March 10, 2000 Report Share Posted March 10, 2000 Hi guys, I don't know what I'm doing wrong!!!!! I sent all my info into Debbie, and the fax number my insurance company gave me had been turned off. So Debbie sent it by regular mail on Feb.28th. I called my insurance co. and got a new fax number and called and gave it to Debbie. I keep calling every number on my insurance card, and they will transfer me all over the place, and NO ONE has anything on Dr. R for me. I'm getting soooo discouraged. Do I just start from the very beginning again? I could just puke!!!!! Well, I could puke, cry, puke again, cry some more!!!!!!!!!!!! Sorry for venting! If someone could give me some ideas, I would really love it. Thanks, Tonni The puking, crying hopeful!!! Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 10, 2000 Report Share Posted March 10, 2000 Thank you Thank you Thank you!!!!!!!!!!! Now that I've dried my eyes and wiped my chin LOL I'm ready for them. They better watch out. they'll end up with 100 copies of my info. They'll think I'm the only one that has their insurance. Paper work will be coming through the door, fax, computer window, ceiling!!!!!! They'll start having nightmares with my name all over them! Thanks, I just needed another swift kick in the @#%, and not let them get the best of me. Thanks again, Tonni Insurance nightmare client MGB gonna be!!!!!!!!! don't know when, but gonna be!!!!! Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 10, 2000 Report Share Posted March 10, 2000 Hey Tonni---welcome to the world of insurance companies. If I were you, and the insurance company was giving me the run around like that, I would take a packet of all your info and hand deliver it. Luckily we have our office here in town. Fax it every couple of days yourself if need be. Never give up. The more they put you off, the more money they figure they will save because you'll just let it go and they won't hear anymore of it. It would be helpful to ask your insurance company for a contact name/person who works in the predetermination office. That way you can fax it personally to them, or else you can send a packet by registered mail, signature required to that particular person. fg At 12:19 PM 03/10/2000 EST, you wrote: >From: BigTBull@... > >Hi guys, >I don't know what I'm doing wrong!!!!! I sent all my info into Debbie, and >the fax number my insurance company gave me had been turned off. So Debbie >sent it by regular mail on Feb.28th. I called my insurance co. and got a new >fax number and called and gave it to Debbie. I keep calling every number on >my insurance card, and they will transfer me all over the place, and NO ONE >has anything on Dr. R for me. I'm getting soooo discouraged. Do I just >start from the very beginning again? I could just puke!!!!! Well, I could >puke, cry, puke again, cry some more!!!!!!!!!!!! Sorry for venting! If >someone could give me some ideas, I would really love it. >Thanks, >Tonni >The puking, crying hopeful!!! > >------------------------------------------------------------------------ >DON'T HATE YOUR RATE! >Get a NextCard Visa, in 30 seconds! Get rates as low as >0.0% Intro or 9.9% Fixed APR and no hidden fees. >Apply NOW! >http://click./1/2120/1/_/453517/_/952708810/ >------------------------------------------------------------------------ > >This message is from the Mini-Gastric Bypass Mailing List at Onelist.com >Please visit our web site at http://clos.net >Get the Patient Manual at http://clos.net/get_patient_manual.htm > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 8, 2003 Report Share Posted March 8, 2003 I don't really understand why they didn't pay? I mean, that is all for your hospitalization and stuff. My surgeon told me that I would have to pay the difference between what he charges and what the insurance covers about 3k, b/c he is non participating. Today I seen the satatemnt that the hospital sent to my insurance for over 20k. I don't understand why they wouldn't pay for your hospitalization and stuff? I hope I don't have this problem with Blue Cross > > > I'm sorry but this is going to be a long post. I got my insurance > > > statement for the surgeon yesterday. I am SO upset! Before the > > > surgery I worked so hard to make sure everything would be > covered - > > I > > > got a precertification from the insurance (BC/BS), talked to them > > on > > > the phone, etc. and was told repeatedly that all I would have to > > pay > > > was my out-of-pocket - $750. At first everything looked great - I > > got > > > a statement for the hospital (which I thought included the > > surgeon's > > > charges) for almost $23k and all I had to pay was $750. Well, > > > yesterday the surgeon's statement came with a check from the > > > insurance for $2900 and a remaining balance of about $14000! It > > said > > > that the surgeon was not a BC/BS provider. I thought it was a > > > mistake - he is the only oral surgeon in my city - and no one had > > > ever mentioned that they were not a provider! Not only that - the > > > genio, which the insurance had told me was approved, was denied. > > And > > > it turns out they had sent a denial letter to the surgeon before > > the > > > surgery and NO ONE told me! I'm sorry to rant about this but I'm > > > just beside myself! I don't know what I'm going to do. The > > surgeon's > > > office said they would send a letter to the insurance but I don't > > > know if that will help any. I'm very happy with my results so > > far, > > > but at this point I just can't see past that $14000. I guess we > > can > > > appeal to the insurance, but ultimately we should have asked if > > they > > > were a provider. Too bad we didn't know that earlier. I feel so > > > guilty for screwing up my family's finances this way - we'll pay > > for > > > this eventually- but it sure screws up where we wanted to be > > > financially a few years down the road! Thanks for listening - any > > > suggestions or similar experiences would be helpful! > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 8, 2003 Report Share Posted March 8, 2003 SO was your surgery itself like 14k then? I didn't get a precert from my insurance company, b/c if they didnt cover the surgery itself i wasn't too worried about it (4200), but i tlalked to them on the phone and they siad they conver it 100%, like 1200 they pay - that is their 100% -- In orthognathicsurgerysupport , " playboy_143_69 " <zman29@c...> wrote: > I don't really understand why they didn't pay? I mean, that is all > for your hospitalization and stuff. My surgeon told me that I would > have to pay the difference between what he charges and what the > insurance covers about 3k, b/c he is non participating. Today I seen > the satatemnt that the hospital sent to my insurance for over 20k. I > don't understand why they wouldn't pay for your hospitalization and > stuff? I hope I don't have this problem with Blue Cross > > > > I'm sorry but this is going to be a long post. I got my > insurance > > > > statement for the surgeon yesterday. I am SO upset! Before > the > > > > surgery I worked so hard to make sure everything would be > > covered - > > > I > > > > got a precertification from the insurance (BC/BS), talked to > them > > > on > > > > the phone, etc. and was told repeatedly that all I would have > to > > > pay > > > > was my out-of-pocket - $750. At first everything looked great - > I > > > got > > > > a statement for the hospital (which I thought included the > > > surgeon's > > > > charges) for almost $23k and all I had to pay was $750. Well, > > > > yesterday the surgeon's statement came with a check from the > > > > insurance for $2900 and a remaining balance of about $14000! It > > > said > > > > that the surgeon was not a BC/BS provider. I thought it was a > > > > mistake - he is the only oral surgeon in my city - and no one > had > > > > ever mentioned that they were not a provider! Not only that - > the > > > > genio, which the insurance had told me was approved, was > denied. > > > And > > > > it turns out they had sent a denial letter to the surgeon > before > > > the > > > > surgery and NO ONE told me! I'm sorry to rant about this but > I'm > > > > just beside myself! I don't know what I'm going to do. The > > > surgeon's > > > > office said they would send a letter to the insurance but I > don't > > > > know if that will help any. I'm very happy with my results so > > > far, > > > > but at this point I just can't see past that $14000. I guess > we > > > can > > > > appeal to the insurance, but ultimately we should have asked if > > > they > > > > were a provider. Too bad we didn't know that earlier. I feel > so > > > > guilty for screwing up my family's finances this way - we'll > pay > > > for > > > > this eventually- but it sure screws up where we wanted to be > > > > financially a few years down the road! Thanks for listening - > any > > > > suggestions or similar experiences would be helpful! > > > > > > > > Quote Link to comment Share on other sites More sharing options...
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