POSSIBLE INSURANCE HELP ! ! ! ! !

June 30, 2000

Dear Group:

Just wanted you all to know that I had a six week run-a-

round with my insurance company, which could have been

avoided.

My letter was sent from Dr. Rutledges' office to the

insurance company and due to the cost of the surgery

went to medical review. Normally this process takes 3

to 5 days. I kept calling my customer service

representative and asking how things were progressing.

And he kept saying check back in a week as he did not

know what was wrong. But it continued to be in

review. Finally I asked my husband to go to the head

of the human resources department where he works and

asked for help in getting this problem resolved.

The first time that they called they were told the same

thing that it was in review and call back in a week.

After the second week, finally the head of human

resources asked to speak with a supervisor above the

customer service representative to tell them exactly

what the problem was that was holding up an approval

for the surgery.

Upon their checking, they noticed a circle pattern

developing which that the insurance company was waiting

for a specific date for surgery and Dr. Rutledges' was

waiting for pre-approval to give me a specific date. I

immediately went self pay to get a date and gave that

date to the insurance company and they immediately

approved the surgery for July 26th 2000.

I know that this will not solve everyone's problem but

if this saves one person a needless 6 week run-around,

it is worth checking into.

Love

Judi in Florida

MGB 7-26-00 SouthCare Approved

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