Insurance loosing information?

Hi everyone Like everyone else, I am having a really hard time wih my insurance company. My lawyer's office told me they sent out my appeal over 4 weeks ago, I spoke the the insurance and they do not have a copy of my appeal or the additional information I submitted to my lawyers office for them to forward. I have a copy of the appeal along with copies of all my paper, now I don't know if I should send it to them, or wait to have the lawyer respond to my email and tell me what to do. I am not very happy that my lawyer didn't call the insurance company to makesure they recieved my information. I have been waiting for 1 month thinking they were reviewing my file. This is alot of time wasted. Now I am playing the waiting game 1. for the lawyer to respond to my email. 2. For the insurance to recieve and approve my claim. Keisha Simms

If you can fax the paper work to someone at your insurance company then do it. Every step you do for yourself is going to benefit you. Make sure you get a name and number as you want to call and confirm that they did receive your paper work. Ask them how long will this take to be processed. They should give you an estimated time, like three to six weeks. Then you start calling every week and asking what's up with your appeal. Ride them Take notes everytime you call. Ask who am I speaking to and write it down and the time you called. It's called covering your butt and NEVER feel bad about calling them. Be nice but firm as you get further if your nice to them but don't take NO **** either. You might have a lawyer fighting for you but you have to fight also for what you want. I found this out myself. I was BCBS of Il worse nightmare at times as I stayed on their butts. Good my dear Donna 338/171

When dealing with both attorneys and insurance companies, I have always found it helpful to send them anything certified/registered mail. Someone has to sign for it and then someone is accountable for it going missing and you have proof that you sent it. Also, never send anything without a cover letter describing what is in the envelope and keep a signed copy for yourself, also to prove that you sent it and what date it was sent and signed for. Do not rely on an attorney to get things done quickly either. Good luck...I have a feeling I will be doing this shortly myself with my own insurance company.

Hi Angela, I have been doing all the above, I even have journal entries with all my conversation the representatives. As far as not relying on a lawyer goes, I agree 100% with that, I find that even with having a lawyer, I ended up doing most or even all the work. My lawyer wrote my two appeals, but that was it. I don't think any followup calls were made to the insurance company. Actually I found myself calling them and getting the updates and filling my lawyer in on what is going on. It is really frustrating. The insurance company probably thinks I am a big joke, because I have a representative listed and still I am left to represent myself. Now that I have exhausted my internal review...I am thinking maybe I should write my own appeal letter to the Plan administrator (self-funded). I find the prior appeals written by my attorney was not personalized to my situtation just general and overwelmed with case laws and citations. Goodluck your journey and your insurance company.