UHC POS help
My Dr. is faxing papers today for preauthorization. Their office and I called and could not get a list of requirements for preauth. from them. Do to the hospital being out of network but the doctor not, I have talked the hospital into accepting my insurance coverage as payment in full but they require the surgery before Jan. 1. My understanding from UHC is that I won't have a clinical manager assigned until they get this preauth. request today. Since my time for approval and surgery is quite limited does anyone have any suggestions? I don't want to pay for extra psyc. evals etc if they aren't required but all UHC would tell me was they needed hgt, wt, bmi and dx codes. Any suggestions? I also don't want to call UHC too soon and not play the game right or put ideas in their head. (Like telling them I need it because I have this deal with an out of network hospital)
Help.
Nancie
Nancy,
Whatever they require make sure you get it in writing. Don't take anyone's word for anything they say. UHC may just be stalling you.
Gary
www.obesitylawyers.com