Frustrated!
I was in the see the doc last on 9/24/07, which was to be my last visit before submitting for approval. They assured me they were submitting no later than 9/26/07 (I hand carried my psych evaluation so they had to review it more carefully). My insurance company didn't log in the request until 10/4/07 and that was after my 2 calls back to the office. Then, the insurance company told me on 10/5 they didn't receive the supporting documentation and office notes, etc. So, I called doc's office back and left messages, and was assured the info would be sent. I've followed up with insurance who just kept telling me it was pending, wouldn't tell me if they were missing things. But, I have called at least once each day since 10/4. Today, I receive a letter in the mail, dated 10/8, that they are missing the letter of medical necessity from my PCP, the office notes from my supervised weight loss, and my 5 year obesity history. How many times was I going to call before they told me it wasn't there?
I called the insurance company, they said the reason they didn't tell me it was missing was because it was up to the doctors to provide it, not me. Well... then why did they send me a letter? Postmarked 5 days after it was written, I might add.
I called the docs office, and got a receptionist who just kept taking messages (I called 3 times today). I told her I need to have this surgery before mid-November (I work in retail), or put it off until end of January, and that is not acceptable to me. I also told her I regret my choice of this doctor if this is how they are going to handle their patients.
Do I call the doctor? Would it do any good? I'm really starting to wish I had gone with a different practice. This unprofessionalism is not only maddening, but it is scary, when you are putting a lot of trust in a doctor, you expect his staff to be competent.
So much for trying to exercise some patience. Kathy
Dianne
Hi Kathy, Geez I am sorry to hear this happened. If you can go to the office, I would and not only that I would insist that they give you copies of the paperwork that you need. It is your medical record so they should not have any problem making a copy for you. I would totally make a big stink. I agree people who do not do their job irritate the heck out of me. My PCP doctor was alittle paranoid and gave me copies of everything and you know , when I went for my pre-op nurse visit. They did not have a thing. Thank goodness I had copies with me. Just a suggestion. Good luck with however you proceed. ~Kim
I went through the same procedure DVR is my surgeon and Rose the insurance person is the only one left of the original office staff and she is slowwwwww but does finally get the job done. For me the approval process and the waiting was the worst part of this whole thing. After you get the approval you will then find that the surgeons are booked for about 2 to 3 months so it takes that long to get a surgery date. You have to remember that every patient they have are going through the same process and the doctors seem to realize it so I am not sure if complaining to them would help, they are worth the wait I have been complication free and am 10 months out. Good luck on your journey, just when you think you can't take anymore it will happen :>)
Stephanie
Aime
The love of my OH Family has me humbled!!!!
Weight at Start of Pregnancy (3/08) - 268
Current Weight - 270

The new love of my life!
Marcus Taylor, born 1/13/09
