Surgical consult/surgery date??

Erika S.
on 11/16/07 4:55 am - Duluth, MN

I have my surgical consult on the 26th of November and once I've had this appointment, I am to call the managed care nurse and advise her that I have seen the surgeon. And from my understanding at that time a letter is to be sent to my insurance for approval, which I have been told can take a couple of weeks to find out whether I have been approved or denied.  Base on that information my question is... will they schedule a surgery date or do you have to wait until you find out have been approved or unfortunately denied??  Would appreciate any feedback on this matter. Erika : )  

Connie D.
on 11/16/07 4:58 am
Hi.....some surgeons set up a tentative date and some won't until you have the approval. Everyone is different. Sorry that sure didn't help you much. connie d
Erika S.
on 11/16/07 5:56 am - Duluth, MN

Thank you for your feedback Connie.

Heather L.
on 11/16/07 6:16 am - St. Paul, MN
Every program is so different. My program actually doesn't schedule appointments with the surgeon until insurance approval is received.  And my surgery was scheduled the day I met with my surgeon. Insurance company has 14 days to respond, so that gives you an idea of when you may hear something.  I suppose if the program coordinator thinks there will be no problem getting approval they may give you a date without approval... Just dont know what to say? Good luck though!
willoway
on 11/16/07 6:29 am - Clayton, WI

Hi, I did not get a date set up until the Dr. had fax in hand of my approval.  Even though they had gotten a call from insurance with an approval number, they wanted a fax.  They told me that they''ve had trouble with  my insurance company in a case where the approval number was called in, surgery done, and when it came time to pay, the insurance claimed they never heard of such a number.  In my case, when the Dr. got the fax, conveniently my last name was spelled wrong and the hospital name was spelled wrong.  Coincidence?  I can't imagine.  It's been a long 1 1/2 years waiting for approval.  Good luck to you and keep us posted!!

Angie

Erika S.
on 11/16/07 12:28 pm - Duluth, MN
Heather and Angie, Thank you both for your input and soon as I know something I will let you all know. Have a great weekend!! Erika
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