Help..Insurance question

I am a new member to this site. I have been working on my pre-op requirements through St. John's in Springfield. Today I received a letter from my insurance company (Healthlink) stating that they are unable to certify the request for coverage based on lack of information. They have not received the "documentation of a psychiatric evaluation". Well, I just finished my last appointment with the psychologists yesterday and he told me he will be writing his evaluation this week-end, which he said would be an approval for surgery. I am really confused, the insurance company did not state that I had been denied. They said I could appeal and send in the required information. Has anyone else had this problem and how did you handle it?

I am pre-op but it sounds like your paperwork was submitted before all requirements were turned in. You will need to resubmit to the insurance once your psychologist has finished his report and it sounds like you will probably be approved. Good luck. Wayne

Barbara... It is perfectly normal for insurance companies to request a psych eval clearing you for surgery BEFORE they issue any type of decision. Hence you did not receive a denial OR an approval. That is why you are in limbo right now. The packet was submitted before it was complete by their standards. What I would do if I were you ...would be to sit down with someone from Healthlink and find out what they need regarding YOUR situation (everyone is different so don't go by what someone else says) to make the packet complete. Depending on any commorbidities such as lung problems/etc. they also might need clearances from specialists. Just giving you some of this information so you don't freak during the process. It IS nervewracking for sure..... Take a deep cleansing breath! Elizabeth~

Thanks for the info and advise. I spoke with the nurse at the surgeons office today and she told me she would take care of this situation. The psych eval was faxed to her today. She said this was not unheard of and has happened before. Maybe I can calm down now.