Insurance Snafu

Deedles
on 6/9/09 12:30 pm - Highlands, TX
DH has an umbilical hernia that needs to be fixed so we made an appointment with Dr. Robert Davis. Dr. Garth Davis is going to do my surgery and DH was very impressed with Dr. Robert when we went to the seminar. So...we have the appointment yesterday, Dr. Robert is amazing! We go to pay our bill and they hit us with an $80 charge instead of the normal $25 copay. She said something about the out of packet thing not being paid yet and since she had just talked to BCBS I didn't argue with her.

This morning I get on the BCBS website to look up my policy and sure enough, we should have paid the $25 copay so I called them. Long story short...Drs. Robert and Garth Davis are no longer listed in network! I know they WERE because I've already started my WLS journey with Dr. Garth and he was definitely on the list. BCBS said since their move to the new location on Gessner the Drs. Davis need to be approved again. The Drs. office was totally shocked! Said all the paperwork involving the move was submitted months ago to avoid just this sort of thing! DH's surgery is scheduled for July 8, I forgot to ask if the new Memorial City Memorial Hospital is approved, it wasn't listed either!

I know it's just a snafu and it will get worked out but it's damned aggrivating. And how long will it take?!? Think of the people with BCBS who want to use either Dr. Davis and are told they are not in the network!
Dee ..... ><((((º>`·.¸¸.·´¯`·.¸¸><((((º>`·.¸¸.·´¯`·.¸¸><((((º>
My new G.O.A.L. ~~~~ Get Out And Live!


Includes 61lbs lost before surgery


cajungirl
on 6/9/09 12:34 pm
I've heard this happening before Dee, it doesn't make a darn bit of since to me......the doctor IMO is in network, not the address.  I'm sure Dr. Davis' office will be on top of this because they don't want to lose business either.

Hang tight!

Proximal RNY Lap - 02/21/05

 9 years committed ~  100% EWL and Maintaining

www.dazzlinglashesandbeyond.com

 

Sabrenia8888
on 6/9/09 8:13 pm - Orlando, FL
Dee - I am so sorry to hear about this. I am going to contact my insurance and make sure this does not occur for me either. Thanks for bringing this to the light.

Brina!
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