:-@ Dang Insurance.. I got approved and then denied

lilcurlyqs
on 7/31/05 4:16 pm
OK.. I have triwest prime. Miilitary insurance. Anywho it took forever to get approved.. I mean everything had to be right. Well the doctor that I got approved for is a non network doctor.. (they usually dont use him) well triwest said that if there isnt a network doctor within a 50 mile radius then I could pick any doctor I want.. So I did ... well they approved him at the end of june. Well I finally got my sugery date Aug 29th.... well friday night I checked my mail and had a denial letter for the same doctor that they approved at the end of june... so I have to call them mon morning to see whats up.. I am really nervous and kinda upset .. so If you all pray please pay that they made a mistake and that I am approved... I am keeping my fingers crossed. Melissa
lilcurlyqs
on 7/31/05 4:20 pm
it was supposed to be and not pay but PRAY if you all do please do that .. lol... its late and I am sooooooooooo tired night.
Texican
on 8/1/05 1:12 pm - Pharr, TX
I understand... It's late, you just washed your hands and can't do a thing with them. Ken
bmore G.
on 8/1/05 1:19 pm - Belcamp, MD
Hi, Melissa! I'm in a very similar situation. My surgery date is also August 29. On July 18, I received a call from the surgeon's office that I was approved, conditional on insurance receiving clearance from pulmonary and cardiac docs. I knew that wasn't a problem - had already had both evaluations and knew the doctors were clearing me. Then last Thursday, I received a letter saying I was denied. It was dated the same day they told the surgeon I was approved as long as I got the two clearances!!! Check the date on your letter - it wouldn't surprise me if it was the same day they told you your surgeon was okay. Anyway, as of tonight (went to pre-surgery seminar), the surgeon's nurse told me they asked for clearance from the Anesthesiologist, since I have sleep apnea, and she has received that and will fax it tomorrow. She said she thinks that will be the last thing, but I don't feel 100% confident that they won't come up with something else! Seems like everytime they ask for something and get it, they just ask for something else. Can I just say I HATE insurance companies?
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