Guest guest Posted August 21, 2000 Report Share Posted August 21, 2000 Well, I just called BCBS of NC again to see if Dr. O'Connell (person reviewing my case)had made a decission yet......NO! Claim they need verification from the surgeon (Dr. Rutledge) that he has given me a physical, not my PCP. This is in addition to the clinic appointment back in May.......I did not loose my cool until after I hung up! Called Barbara and she said that BCBS had changed their guidelines mid steam and are now requiring this. She said she would ask Dr. Rutledge what he wants to do about it, at clinic tomorrow. It was some comfort that I was not the only case this was happening to! Has anyone else heard this? Venting in Chapel Hill Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 21, 2000 Report Share Posted August 21, 2000 Gloria, Did they actually use the word physical?On Friday 8/18,they told me they had not received the EVALUATION (AKA Clinic eval)of me by Dr R.They explained they will not even look at my file until DrR has personally seen the pt. I called Debbie and she said she'd send it.I will follow up and post again,I'd appreciate it,if you would keep me posted on your end.Thanks, Janet > >Reply-To: MiniGastricBypass (AT) egroups (DOT) com >To: MiniGastricBypass (AT) egroups (DOT) com >Subject: Crying tears of Woe..... >Date: Mon, 21 Aug 2000 19:12:25 -0000 > >Well, I just called BCBS of NC again to see if Dr. O'Connell (person >reviewing my case)had made a decission yet......NO! Claim they need >verification from the surgeon (Dr. Rutledge) that he has given me a >physical, not my PCP. This is in addition to the clinic appointment >back in May.......I did not loose my cool until after I hung up! > >Called Barbara and she said that BCBS had changed their guidelines mid >steam and are now requiring this. She said she would ask Dr. Rutledge >what he wants to do about it, at clinic tomorrow. It was some comfort >that I was not the only case this was happening to! > >Has anyone else heard this? > >Venting in Chapel Hill > ________________________________________________________________________ Get Your Private, Free E-mail from MSN Hotmail at http://www.hotmail.com Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 21, 2000 Report Share Posted August 21, 2000 Gloria, I too spoke with someone at BCBS of NC today and I feel we are getting the same run around. Last week they told me I needed additional information from my PCP and then today when I called to inquire the woman I spoke to told me she couldn't give me any information. What is up with that- they have been giving me information for the past month. Why all of the sudden are they not going to talk to me now? She told me all she could say was they needed more info. from Dr. R's office. I feel like I am bending over backwards for these people. Don't we pay them!! I get the feeling sometimes when I call they are soooo bothered. Like oh lord- it's that fat woman that wants the WLS again!! I think they all know me by now. What would we do without this site to help us vent?!? I am with you crying those tears- it is so frustrating!! I get all worked up and then I think, okay I have been fat for almost half of my life now what difference is a few more weeks going to make? I am just ready to get this part behind me. I am consumed with the whole process. I think we all are. We want to join all the other great people on the other side! Thanks for listening-I didn't mean to go on and on. I called Barbara at Dr. R's office and bless her heart I had to call four times before I got to actually talk to her. They are so swamped I hate to call and ask them anything. She said she would look into what they want now. If you find anything out let me know. You can email me privately at tartboys@... We NC girls have got to help each other!! Dana in NC Crying tears of Woe..... > Well, I just called BCBS of NC again to see if Dr. O'Connell (person > reviewing my case)had made a decission yet......NO! Claim they need > verification from the surgeon (Dr. Rutledge) that he has given me a > physical, not my PCP. This is in addition to the clinic appointment > back in May.......I did not loose my cool until after I hung up! > > Called Barbara and she said that BCBS had changed their guidelines mid > steam and are now requiring this. She said she would ask Dr. Rutledge > what he wants to do about it, at clinic tomorrow. It was some comfort > that I was not the only case this was happening to! > > Has anyone else heard this? > > Venting in Chapel Hill > > > > > 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 > > To Unsubscribe Send and Email to: MiniGastricBypass-unsubscribe (AT) egroups (DOT) com > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 22, 2000 Report Share Posted August 22, 2000 Thanks, Keep me posted! Janet > >Reply-To: MiniGastricBypass (AT) egroups (DOT) com >To: MiniGastricBypass (AT) egroups (DOT) com >Subject: Re: Crying tears of Woe..... >Date: Tue, 22 Aug 2000 12:56:47 -0000 > >Janet, I thought this was what they wanted too, but was told the >clinic evaluation was not detailed enough to access my risks in having >the surgery. Dr. O'Connell at BCBS is going to call Dr. R (he got the ># from me) and discuss the new guideline requirements. > >There are many of us hanging by our fingernails on resolution of this >problem! > >Gloria > > > > Gloria, Did they actually use the word physical?On Friday >8/18,they told > > me they had not received the EVALUATION (AKA Clinic eval)of me by Dr >R.They > > explained they will not even look at my file until DrR has >personally seen > > the pt. I called Debbie and she said she'd send it.I will follow up >and post > > again,I'd appreciate it,if you would keep me posted on your >end.Thanks, > > Janet > > > > >From: " Gloria Dean " <gdean@o...> > > >Reply-To: MiniGastricBypass (AT) egroups (DOT) com > > >To: MiniGastricBypass (AT) egroups (DOT) com > > >Subject: Crying tears of Woe..... > > >Date: Mon, 21 Aug 2000 19:12:25 -0000 > > > > > >Well, I just called BCBS of NC again to see if Dr. O'Connell >(person > > >reviewing my case)had made a decission yet......NO! Claim they need > > >verification from the surgeon (Dr. Rutledge) that he has given me a > > >physical, not my PCP. This is in addition to the clinic appointment > > >back in May.......I did not loose my cool until after I hung up! > > > > > >Called Barbara and she said that BCBS had changed their guidelines >mid > > >steam and are now requiring this. She said she would ask Dr. >Rutledge > > >what he wants to do about it, at clinic tomorrow. It was some >comfort > > >that I was not the only case this was happening to! > > > > > >Has anyone else heard this? > > > > > >Venting in Chapel Hill > > > > > > > >__________________________________________________ >______________________ > > Get Your Private, Free E-mail from MSN Hotmail at >http://www.hotmail.com > ________________________________________________________________________ Get Your Private, Free E-mail from MSN Hotmail at http://www.hotmail.com Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 22, 2000 Report Share Posted August 22, 2000 Janet, I thought this was what they wanted too, but was told the clinic evaluation was not detailed enough to access my risks in having the surgery. Dr. O'Connell at BCBS is going to call Dr. R (he got the # from me) and discuss the new guideline requirements. There are many of us hanging by our fingernails on resolution of this problem! Gloria > Gloria, Did they actually use the word physical?On Friday 8/18,they told > me they had not received the EVALUATION (AKA Clinic eval)of me by Dr R.They > explained they will not even look at my file until DrR has personally seen > the pt. I called Debbie and she said she'd send it.I will follow up and post > again,I'd appreciate it,if you would keep me posted on your end.Thanks, > Janet > > >From: " Gloria Dean " <gdean@o...> > >Reply-To: MiniGastricBypass (AT) egroups (DOT) com > >To: MiniGastricBypass (AT) egroups (DOT) com > >Subject: Crying tears of Woe..... > >Date: Mon, 21 Aug 2000 19:12:25 -0000 > > > >Well, I just called BCBS of NC again to see if Dr. O'Connell (person > >reviewing my case)had made a decission yet......NO! Claim they need > >verification from the surgeon (Dr. Rutledge) that he has given me a > >physical, not my PCP. This is in addition to the clinic appointment > >back in May.......I did not loose my cool until after I hung up! > > > >Called Barbara and she said that BCBS had changed their guidelines mid > >steam and are now requiring this. She said she would ask Dr. Rutledge > >what he wants to do about it, at clinic tomorrow. It was some comfort > >that I was not the only case this was happening to! > > > >Has anyone else heard this? > > > >Venting in Chapel Hill > > > > __________________________________________________ ______________________ > Get Your Private, Free E-mail from MSN Hotmail at http://www.hotmail.com Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 22, 2000 Report Share Posted August 22, 2000 I was just wondering if I missed the post on what as stats were that she is going to have a revision. Liz Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 22, 2000 Report Share Posted August 22, 2000 Gloria, Have you tried talking to Patrice Lennon??? She was a doll when I was going through this. She actually called me at home and told me I was approved personally. I believe the number is 1- ext 8388. Hope this helps. Rosemary Crying tears of Woe..... > > > > Well, I just called BCBS of NC again to see if Dr. O'Connell (person > > reviewing my case)had made a decission yet......NO! Claim they need > > verification from the surgeon (Dr. Rutledge) that he has given me a > > physical, not my PCP. This is in addition to the clinic appointment > > back in May.......I did not loose my cool until after I hung up! > > > > Called Barbara and she said that BCBS had changed their guidelines mid > > steam and are now requiring this. She said she would ask Dr. Rutledge > > what he wants to do about it, at clinic tomorrow. It was some comfort > > that I was not the only case this was happening to! > > > > Has anyone else heard this? > > > > Venting in Chapel Hill > > > > > > > > > > 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 > > > > To Unsubscribe Send and Email to: > MiniGastricBypass-unsubscribe (AT) egroups (DOT) com > > > > > > > > > > > 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 > > To Unsubscribe Send and Email to: MiniGastricBypass-unsubscribe (AT) egroups (DOT) com > > Quote Link to comment Share on other sites More sharing options...
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