VERY DOWN...please help

ganurse
on 5/17/04 12:00 pm - Columbus, GA
I just found out that my psych eval, which was done in March, has been denied by my behavioral medicine insurance because the billing department listed a medical diagnosis INSTEAD of a psych diagnosis...so...the behavioral medicine insurance referred the claim directly to my health insurance...AND THEY DENIED IT TOO! because the procedure is a psych procedure!!! This is AFTER the psychiatrist sent the claim to the wrong insurance in the first place!!! Until my psychiatrist gets paid by the insurance, he will not send the recommendation to the surgeon, which is needed for the submission to the insurance to file for permission for the surgery....so right now...I'M NOT APPROVED!! I've filed an appeal with my behavioral medicine insurance (because the psychiatrist refuses to alter the diagnosis) but this can take up to 30 days. Once payment is made, then it can take up to another 30 days for the health insurance to approve the surgery! This is a problem because I have a tentative date for JUNE 30th!! AUGHHHHHHHH I've been praying and trying to let God handle this problem (with a little help and repetative phone calls from me directly to the insurance co)...but I'm really stressed and when I get stressed...I eat. When this first came up today, not only was I already tired (that's when I'm the weakest) but I gave in to my body's demand for a COKE. Sigh... It wouldn't be so bad but I've been COKE-free since February. Things were falling smoothly in place until now
ShonF.
on 5/17/04 1:59 pm - Peachy State, GA
Sorry Cindi that you are down, but just hang in there. Things will get better, I know it might not seem like that now, but it will. As for the insurance company like you said just keep calling to get your claims paid for. Good luck . Shondra
Ms.Judy
on 5/17/04 10:03 pm - HOSCHTON, GA
I HAD LOTS OF PROBLEMS WITH GETTING APPROVED, BUT I FINALLY DID AND YOU WILL , TOO. WE WILL ALL PRAY THAT IT HAPPENS REAL SOON ! JUDY
ganurse
on 5/18/04 11:35 am - Columbus, GA
Yep...that's what I'm going to do but sometimes...it's just the principle of the matter. Thanks for everyone's words of encouragement
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