Approval on 9-21-00....the long version!

[Guest guest]

In a message dated 9/23/2000 11:56:18 AM Eastern Daylight Time,

gdean1325@... writes:

<< I truly feel this is the right decision for me (believe me I see the

results of everything negative in my job), I except the risk and know

that God will look out after me!! If it is my time, I will go out

fighting like I have never fought before!! I have complete trust in

the procedure and Dr. Rutledge!!!!

I have posted my stats since beginning this procedure in the next

post!

Gloria Dean

Big Red in Chapel Hill

If you were driving down 15-501 yesterday afternoon I was the one

dancing towards Durham and DRH !!!!Hehe! >>

God Bless You Gloria, for all you have been thru and everything you have

accomplished!!!! My prayers will be with you on Monday!!! Good Luck and God

Speed to you!!!!!!!

Cathy Morrow in Lenoir, NC

BMI 42

A journey of a thousand miles begins with a single step

[Guest guest]

wooooo hoooooo !!!!

Way to go Gloria !!! Now THAT is persistance at its finest !!!

I will pray for a safe and sound journey to the other side !

in Fl

>

>Reply-To: MiniGastricBypass (AT) egroups (DOT) com

>To: MiniGastricBypass (AT) egroups (DOT) com

>Subject: Approval on 9-21-00....the long version!

>Date: Sat, 23 Sep 2000 15:52:31 -0000

>

>My appeal with BCBS was originally scheduled for Wednesday 9/20 at 2

>pm, but it was delayed until Thursday at 10 am. I was told that I

>would have a answer by noon (keep in mine I am at work)......Noon

>came and went and after 3 calls to BCBS I finally got the person that

>was presenting my case at 2 pm. She said it was not good news since

>they still didnot have my PCP's clinical notes from my physical that

>is entered into my patient record (I called on Wed. to make sure they

>had everything that was needed and was told yes by the same

>woman)....Well needless to say I lost it while I was on the phone

>trying to understand what it was they needed and why they had not

>told me something was missing.......Thru my tears and sobs I finally

>after 15 minutes got her to describe in words what they wanted......I

>asked if I got the info could I fax it to her and get a decision and

>she said she would try......So I immediately called my PCP's office

>and find she is off for the afternoon and so is her nurse who knows

>all about my case.....Between sobs I ask to speak with some one in

>medical records and explain the time restraints and what I want and

>she said she would do it as soon a possible.....at 3 pm she calls

>back and says they cannot find my chart......So I page my PCP ( she

>has given me her pager # and email address...I guess you can say we

>have a good doc/patient relationship)......She calls back immediately

>and I sobbingly tell her what is going on and she says she knows

>where the file is and will take care of it.... She calls me back and

>sayss she has dictated it twice and had written it once and now none

>of the notes are in my file?????? so she will go to the office and

>see if they can find them (now that is a supportive Doctor!).....By

>4:48 I still had not heard anything so I was reaching for the phone

>to make the upsetting call to Barbara that she could give the date to

>someone else (I had had 3 emails from her wanting to know the status

>since she was not going to be in the office on Friday).......At 4:49

>pm I get a page that I have a call on line 1.....Sniffling back tears

>I pick it up and it is Sherry Lee at BCBS and her exact words are:

>Gloria go home, pack your bag, you are having surgery on

>Monday!....Of course I had her repeat what she said! She said she had

>pulled all the strings that she could and had worked on my case since

>gettin off the phone earlier.....I thanked her from the bottom of my

>heart, thru my tears of joy and didnot even ask her what changed form

>2-4:49.....She said she would get me my precert # on Friday!....I

>called Barbara and got put on hold after telling the receptionist

>that she was waiting for my call....when she came on the line she

>said I had broken the record for last minute approval! She said I

>could call and fax the info and my weigh in results to Debbie s

>on Friday and she would have my chart and be expecting my

>call!.....Keep in mind I have been working all this time (I am the

>evidence technician for NC's Chief Medical Examiner) and I was

>logging in case info and data into our data base...most of the time I

>could not even see the screen much less know what I was typing...so I

>expected numerous mistakes and typo's when I got to work Friday, but

>God was guiding my hands because I could not find any!.......Friday

>morning I went to my PCP's office to weigh in and get my preop meds

>(samples).....I also asked for a copy of the notes in my file from my

>physical so that I would have a copy ( I had fedx'd my copy to BCBS

>back in August)and guess what they still were not in my file!....So I

>waited until I was handed a hand written copy and watched them but in

>in my file, weighed in and went to work!.....When I got to work I

>called Sherry at BCBS and told her I had what they wanted and would

>be faxing it just to be on the safe side! She said she had dreamed

>about me and the approval process all night and wanted me to promise

>to call her after the surgery and let her know how I was! She said

>she felt like she was a part of the MGB family now and that we had

>bonded!....I called Debbie s and told her I was faxing over the

>info also!.......I work feverishly to get all my work caught up and

>try to train someone to do part of my job (there is no way it can be

>done in 6 hrs!)......So now I rest and wait until Monday !!!

>

>I truly feel this is the right decision for me (believe me I see the

>results of everything negative in my job), I except the risk and know

>that God will look out after me!! If it is my time, I will go out

>fighting like I have never fought before!! I have complete trust in

>the procedure and Dr. Rutledge!!!!

>

>I have posted my stats since beginning this procedure in the next

>post!

>

>Gloria Dean

>Big Red in Chapel Hill

>If you were driving down 15-501 yesterday afternoon I was the one

>dancing towards Durham and DRH !!!!Hehe!

>

>

>

>

[Guest guest]

My appeal with BCBS was originally scheduled for Wednesday 9/20 at 2

pm, but it was delayed until Thursday at 10 am. I was told that I

would have a answer by noon (keep in mine I am at work)......Noon

came and went and after 3 calls to BCBS I finally got the person that

was presenting my case at 2 pm. She said it was not good news since

they still didnot have my PCP's clinical notes from my physical that

is entered into my patient record (I called on Wed. to make sure they

had everything that was needed and was told yes by the same

woman)....Well needless to say I lost it while I was on the phone

trying to understand what it was they needed and why they had not

told me something was missing.......Thru my tears and sobs I finally

after 15 minutes got her to describe in words what they wanted......I

asked if I got the info could I fax it to her and get a decision and

she said she would try......So I immediately called my PCP's office

and find she is off for the afternoon and so is her nurse who knows

all about my case.....Between sobs I ask to speak with some one in

medical records and explain the time restraints and what I want and

she said she would do it as soon a possible.....at 3 pm she calls

back and says they cannot find my chart......So I page my PCP ( she

has given me her pager # and email address...I guess you can say we

have a good doc/patient relationship)......She calls back immediately

and I sobbingly tell her what is going on and she says she knows

where the file is and will take care of it.... She calls me back and

sayss she has dictated it twice and had written it once and now none

of the notes are in my file?????? so she will go to the office and

see if they can find them (now that is a supportive Doctor!).....By

4:48 I still had not heard anything so I was reaching for the phone

to make the upsetting call to Barbara that she could give the date to

someone else (I had had 3 emails from her wanting to know the status

since she was not going to be in the office on Friday).......At 4:49

pm I get a page that I have a call on line 1.....Sniffling back tears

I pick it up and it is Sherry Lee at BCBS and her exact words are:

Gloria go home, pack your bag, you are having surgery on

Monday!....Of course I had her repeat what she said! She said she had

pulled all the strings that she could and had worked on my case since

gettin off the phone earlier.....I thanked her from the bottom of my

heart, thru my tears of joy and didnot even ask her what changed form

2-4:49.....She said she would get me my precert # on Friday!....I

called Barbara and got put on hold after telling the receptionist

that she was waiting for my call....when she came on the line she

said I had broken the record for last minute approval! She said I

could call and fax the info and my weigh in results to Debbie s

on Friday and she would have my chart and be expecting my

call!.....Keep in mind I have been working all this time (I am the

evidence technician for NC's Chief Medical Examiner) and I was

logging in case info and data into our data base...most of the time I

could not even see the screen much less know what I was typing...so I

expected numerous mistakes and typo's when I got to work Friday, but

God was guiding my hands because I could not find any!.......Friday

morning I went to my PCP's office to weigh in and get my preop meds

(samples).....I also asked for a copy of the notes in my file from my

physical so that I would have a copy ( I had fedx'd my copy to BCBS

back in August)and guess what they still were not in my file!....So I

waited until I was handed a hand written copy and watched them but in

in my file, weighed in and went to work!.....When I got to work I

called Sherry at BCBS and told her I had what they wanted and would

be faxing it just to be on the safe side! She said she had dreamed

about me and the approval process all night and wanted me to promise

to call her after the surgery and let her know how I was! She said

she felt like she was a part of the MGB family now and that we had

bonded!....I called Debbie s and told her I was faxing over the

info also!.......I work feverishly to get all my work caught up and

try to train someone to do part of my job (there is no way it can be

done in 6 hrs!)......So now I rest and wait until Monday !!!

I truly feel this is the right decision for me (believe me I see the

results of everything negative in my job), I except the risk and know

that God will look out after me!! If it is my time, I will go out

fighting like I have never fought before!! I have complete trust in

the procedure and Dr. Rutledge!!!!

I have posted my stats since beginning this procedure in the next

post!

Gloria Dean

Big Red in Chapel Hill

If you were driving down 15-501 yesterday afternoon I was the one

dancing towards Durham and DRH !!!!Hehe!

[Guest guest]

>I am just beginning this journey of insurance and paper work. It is

soooo nice to hear that it can really happen!! I have been doing

research for about 6 months on this proceedure and have finally made

up my mind. Here we go!! You will be in my prayers. Keep us posted!

In a message dated 9/23/2000 11:56:18 AM Eastern Daylight Time,

> gdean1325@e... writes:

>

> << I truly feel this is the right decision for me (believe me I see

the

> results of everything negative in my job), I except the risk and

know

> that God will look out after me!! If it is my time, I will go out

> fighting like I have never fought before!! I have complete trust

in

> the procedure and Dr. Rutledge!!!!

>

> I have posted my stats since beginning this procedure in the next

> post!

>

> Gloria Dean

> Big Red in Chapel Hill

> If you were driving down 15-501 yesterday afternoon I was the one

> dancing towards Durham and DRH !!!!Hehe! >>

>

> God Bless You Gloria, for all you have been thru and everything you

have

> accomplished!!!! My prayers will be with you on Monday!!! Good Luck

and God

> Speed to you!!!!!!!

>

> Cathy Morrow in Lenoir, NC

> BMI 42

> A journey of a thousand miles begins with a single step