Re: Re: I've got a date!

[Guest guest]

In a message dated 12/14/01 12:30:52 PM, duodenalswitch

writes:

<< Word of advice, about 1 month prior to surgery,

start calling Daryl, and bug him and make him be specific about what is

approved by the insurance. I was not on this group prior to surgery and had

no posts to read for advice or I may have done things differently.

>>

Sheri: I bugged the hell out of him and he still did it on his own schedule.

I think he 'prioritizes' the files and will submit a week or so prior to

surgery. I was on pins and needles. It wasn't that my insurance was known

for denials (Oxford Freedom) but I had a bmi of 45 and no real 'serious'

co-morbidities so I feared they might give me a hard time.

I mean, calling and bugging him sounds good but honestly it didn't work with

me! Sorry to hear about the anesthesiologist bill - what a pisser. I

hope it can all be worked out. It's so inane to get bills when you

shouldn't. I recently got a bill for my labwork -- it was over 1,000 bucks!

Holy Cow! I didn't know all those tests cost that much. Turns out they used

my old insurance number and that's why it was denied. I got it put through

and it *SHOULD* be taken care of! LOL

all the best,

lap ds with gallbladder removal

January 25,2 001

Dr. Gagner/Mt. Sinai/NYC

10 months post-op and still feelin' fabu

preop: 307 lbs/bmi 45

now: 198 lbs/bmi 28/size sweet 16 but squeezin' into a 14 LOL

[Guest guest]

Not only do you have a date but you have the wonderful Dr. Herron. He is

very compassionate and gets back to you via e-mail. I wish you luck and

congrats. Ellen(Pam

[Guest guest]

In a message dated 12/14/01 12:46:49 PM Eastern Standard Time, ruisha@...

writes:

<< I bugged the hell out of him and he still did it on his own schedule. >>

,

When I finally got Daryl off his duff he almost screwed everything up. I

was self-referring out of network. All this crap was listed in my file, along

with a letter from my PCP and my letter, etc etc. So when he finally started

on my file, he called my PCP and of course they could not refer. So I get

this message from him that I was denied. ANd the reason was my PCP would not

refer me. So when I straightened out the whole mess, after calling my PCP

and the insurance company, I called him back and left a rather stern message

that if he looked at my file he would see that I was self-referring and if I

needed to do this myself to please send my file to me. He called me back the

next day with the good news that I was approved. LOL.

Sheri

[Guest guest]

In a message dated 12/14/01 2:38:15 PM, duodenalswitch writes:

<< So when I straightened out the whole mess, after calling my PCP

and the insurance company, I called him back and left a rather stern message

that if he looked at my file he would see that I was self-referring and if I

needed to do this myself to please send my file to me. He called me back the

next day with the good news that I was approved. LOL. >>

Sheri: What a pain in the butt! Man, sorry you had to go through that. I

think it does help to call just to find out what's up but he just wouldn't

budge on moving up submission of my approval man. I was a nervous wreck two

weeks before the surgery! I got word that I had been approved a week

beforehand! Whew!

all the best,

[Guest guest]

,

Daryl seems to pull those last minute approvals out his wazoo, or butt

hole, or some place. LOL

Smiles,

Sheri