Denied....what?????
My paperwork was sent to my insurance companies last week. I was told to call the Utilization Mgr a week later. I did, last Friday like the lady there said my secondary insurance said yes and that the primary hadn't responded yet. Then I received a letter from my secondary insurance co. saying they needed documentation to review before deciding. So I call the lady back and she says the letter and calls must have crossed. She then gives me an approval # and suggests that I call the insurance company. Then and hour or so later she calls me back sounding very remorseful and says that my primary denied it because the 5 yr history wasnt detailed enough. I had my PCP write a letter based on what the surgeon's office nurse said. They are gathering the information from my PCP and resending the info.
I decided to call my secondary insurance do and they say that they denied it, because the primary denied it...they cannot approve w/o their approval and the # I was given is not an approval number but a reference number similar to a case number!!! Ugh!!!! God I don't want this goofed up because of an incompetent person!!!!
I'm breathing and praying here. I know this will work out...if it's His will and this is what I'm supposed to be doing ....it'll be fine.
)i( )i( DIVA )i( )i(
Why does your primary have to approve. I have the same situation. I go on my husbands insurance in January, but I am also keeping mine. His insurance covers it and mine does'nt. So, does that mean I won't be able to have surgery? Very Frustrating! This is why we have the other insurance. So, I guess in that case cancel the primary and move the secondary insurance as your primary.
On November 7, 2007 at 11:11 AM Pacific Time, kylyn wrote:
Why does your primary have to approve. I have the same situation. I go on my husbands insurance in January, but I am also keeping mine. His insurance covers it and mine does'nt. So, does that mean I won't be able to have surgery? Very Frustrating! This is why we have the other insurance. So, I guess in that case cancel the primary and move the secondary insurance as your primary.)i( )i( DIVA )i( )i(