Re: Insurance taking back payment?

[Guest guest]

my insurance wouldn't pay for the genioplasty

gina

>

> I went to the OS today and they indicated that the insurance company

> accidently paid for the genio when they should not have. The

> insurance co. pre-certified the genio and paid the OS and now the OS

> is saying the insurance company wants that money back.

>

> I called the insurance co. and they told me they don't have any

> record or notes saying they are not paying for the genio surgery or

> want money back. So I called my OS' office and asked if they had

> anything in writing saying the insurance co. was not paying and they

> told me " no " .

>

> I paid my OS up front and should be getting almost the whole amount

> back that I paid, so when I asked for the reimbusement today the OS'

> office told me they could not give me the refund yet because of the

> insurance co. supposedly not paying for the genio. Could this be my

> OS wanting more money from me and being shady about it?

>

> Has anyone had this happen to them, about the insurance co. wanting

> money back after they have already paid out.

>

>

[Guest guest]

TO BAD YOU DIDNT GET IT IN WRITING, I HAD SUCH TROUBLE WITH INSURANCE

I MADE SURE THE OS OFFICE GOT IT IN WRITING!!!!! TRY WORKING WITH THE

OS OFFICE ON THIS, DID THEY VERBALLY GET APPROVAL??? IF SO THEY

SHOULD HAVE NOTES.

GOOD LUCK WITH THIS.

MARY

> >

> > I went to the OS today and they indicated that the insurance

company

> > accidently paid for the genio when they should not have. The

> > insurance co. pre-certified the genio and paid the OS and now the

OS

> > is saying the insurance company wants that money back.

> >

> > I called the insurance co. and they told me they don't have any

> > record or notes saying they are not paying for the genio surgery

or

> > want money back. So I called my OS' office and asked if they had

> > anything in writing saying the insurance co. was not paying and

they

> > told me " no " .

> >

> > I paid my OS up front and should be getting almost the whole

amount

> > back that I paid, so when I asked for the reimbusement today the

OS'

> > office told me they could not give me the refund yet because of

the

> > insurance co. supposedly not paying for the genio. Could this be

my

> > OS wanting more money from me and being shady about it?

> >

> > Has anyone had this happen to them, about the insurance co.

wanting

> > money back after they have already paid out.

> >

> >

[Guest guest]

I did get a pre-certification in writing that's why I'm wondering

how they can take payment back.

> > >

> > > I went to the OS today and they indicated that the insurance

> company

> > > accidently paid for the genio when they should not have. The

> > > insurance co. pre-certified the genio and paid the OS and now

the

> OS

> > > is saying the insurance company wants that money back.

> > >

> > > I called the insurance co. and they told me they don't have

any

> > > record or notes saying they are not paying for the genio

surgery

> or

> > > want money back. So I called my OS' office and asked if they

had

> > > anything in writing saying the insurance co. was not paying

and

> they

> > > told me " no " .

> > >

> > > I paid my OS up front and should be getting almost the whole

> amount

> > > back that I paid, so when I asked for the reimbusement today

the

> OS'

> > > office told me they could not give me the refund yet because

of

> the

> > > insurance co. supposedly not paying for the genio. Could this

be

> my

> > > OS wanting more money from me and being shady about it?

> > >

> > > Has anyone had this happen to them, about the insurance co.

> wanting

> > > money back after they have already paid out.

> > >

> > >

[Guest guest]

I'm betting they can't, or at the very least if you wanted to fight

it, it will be very difficult for them to do so

As for your surgeons office not having anything in writing from the

insurance company stating they want money back, I'm not sure what

legal ground they have at the moment to not reimburse you your funds.

Perhaps they're waiting for something in writing from your insurance

company??

Does your surgeon have a copy of the letter from the insurance company

stating they were paying for the genio? If not, give them one

> > > >

> > > > I went to the OS today and they indicated that the insurance

> > company

> > > > accidently paid for the genio when they should not have. The

> > > > insurance co. pre-certified the genio and paid the OS and now

> the

> > OS

> > > > is saying the insurance company wants that money back.

> > > >

> > > > I called the insurance co. and they told me they don't have

> any

> > > > record or notes saying they are not paying for the genio

> surgery

> > or

> > > > want money back. So I called my OS' office and asked if they

> had

> > > > anything in writing saying the insurance co. was not paying

> and

> > they

> > > > told me " no " .

> > > >

> > > > I paid my OS up front and should be getting almost the whole

> > amount

> > > > back that I paid, so when I asked for the reimbusement today

> the

> > OS'

> > > > office told me they could not give me the refund yet because

> of

> > the

> > > > insurance co. supposedly not paying for the genio. Could this

> be

> > my

> > > > OS wanting more money from me and being shady about it?

> > > >

> > > > Has anyone had this happen to them, about the insurance co.

> > wanting

> > > > money back after they have already paid out.

> > > >

> > > >