Have you ever been charged a "precertification penalty"?
If nothing else, I hope people who are going into the hospital remember this and make sure everything is done correctly by their insurance and the hospital so this doesnt happen to them.
I went from lap band to RNY on Aug 1 2008.
SW CW GW
5'2" 205/133/ ?
FIGHT IT FIGHT IT....FIGHT. It is up to the hospital to get pre-auth or additional authorization if you are still IN THE HOSPITAL...that means you met that criteria and so - it should have been approved - DR'S ORDERS so to speak...
- Pease check out Dr. Connie Stapleton's Website. A lot of good information on there for all WLS patients regardless of the surgery you chose. Good luck to all and I'm here for you if you want to send me an email. I'll answer it as soon as possible.
- Total Lost: 139 lbs
- Current Weight: 263
- As of 11-10-13 I have had weight gain. Not happy about that.
- RNY: 10-16-07 = 338: Highest weight: 350+ Lowest Weight: 199
I went from lap band to RNY on Aug 1 2008.
SW CW GW
5'2" 205/133/ ?
on 5/22/09 9:19 am - DFW area, TX
On my EOB it says I owe the $500.00 precertifcation penalty to the hospital. Ive argued this with my insurance company but they SOMEONE has to precertify me (so even if I was in a coma, if the hospital didnt do it, I should have done it or my family should have).
Ive had several 3 way calls but BCBS wont budge and so far the hospital wont budge. My thing is though why did the hospital do it on my other stays and on the first night of this stay but wait too late and make me responsible for it in the end. I will just keep on fighting.
I went from lap band to RNY on Aug 1 2008.
SW CW GW
5'2" 205/133/ ?
on 5/23/09 5:54 am - DFW area, TX