Denied!!!!!

I am sooooo upset right now!!!!!!!! I called UHC to ask the states of my pre-auth and I was told it was denied. As if that was not bad enough, the reson they denied me........the pre-auth was faxed over with NO documentation.  So, I jump through all the hoops that is required and nothing was sent into the insurance company? And on top of that I can not appeal until they fax over all documentation. When will that happen? Doctor's office is closed today and they see all new patients on Monday......Tuesday???? I am soooo sad. They made a decision so fast if only they had the documentation..........I want to cry!!!!!!!!!!!

I know you are upset right now. And that is very understandable. Please don't give up. Sometimes the paperwork process is the most frustrating process of the WLS journey. I had some snafus with my process as well and I had to keep following up with the financial person at my surgeon's office and even talk to my insurance carrier directly. In my case, I was able to unravel the mystery as to what was holding my process up and get it moving again. Hopefully, this will be something that you too will be able to sort through and get on its way once again. I see we have the same surgeon. Rose understands the ins and outs of the approval process. Keep on her and she will help you through it.

I have been on top of UHC but I can not get Rose to call me back???? I was so fustrated that I stopped by the office last night and Barb was still there(she is a sweetheart) and she left a message for Rose. I have not heard back from Rose yet. It is so fustrating. UHC has been great they said she can call in and fax over the paperwork and they will look it over. I may have to appeal but I can not until Rose sends in the paperwork.......so fustrated!!!!!! The weather is not helping my sad mood.

I know you are upset but dont give up. Sounds as if someone made a big mistake. Remain calm and think positive. Hopefully Monday you can get the train back on track..                


                                                                                                Julie

Julie

Thanks for the support. I know coming on here would lift my spirit. Its gonna be a long weekend.

When I was waiting for approval Rose contacted me on a Saturday to say she was faxing
whatever the insurance company needed:  maybe she will work this weekend and get
your message and take care of whatever the problem was.

Wow! Darla really? That gives me a little bit of hope. I faxed her and have not hear anything......waiting......

Girl.... I am sorry. Keep your head up & be persistant with Rose. Things will work themselves out. Trust me, I know how excited you have been because we are in the same place, but just keep the faith!
~heather

Thanks Heather. I am trying to keep the faith........you guys all help lift my spirits up and realize that I am gonna have to help fight for myself. I'm ready!!!!

Oh, no!!!  MAJOR SUCKAGE!!!!  I am SO frustrated on your behalf that things were done half-assed.  I've said time and again that people on the processing end don't always get that this is our lives, not JUST their jobs.  GRRR!!!!

Unfortunately, there's nothing you can do right now, but once you start making your phone calls, make SURE you document everything.

Hang in there, honey, it'll all come together for you!

Hugs,

Tia