BCBS Fed, insurance

 I called last week and they said my paperwork was in, but was on hold, apparently something was missing, I called this week and whatever was missing is there but still on HOLD.. I try to get understanding from the reps what that means... but they dont seem to know.  if it is all there- it should be "under review" ? Guess, I am just wondering if the terms they use mean anything at all. I'ts Black Friday -so nobodys working today, so I'll check Monday. But just wondering if anyone ever had this " ON HOLD" term used on their approval request.

first of all: relax!!! Insurances take their sweet time when it comes to approving medical procedures, i know i work in the medical office and they will take longer if they feel like it! now the costumer service rep wont be able to help u unless its just to tell u if u been approved or not because there are nurses/doctors reviewing your case and they will make the best desicion for them (in terms of if its medically necessary) I know you want it to be done you will get a letter as soon as they make their desicion...

Thanks for your reply, I would think they would want to wrap up the year before the new policy  change take effect Jan 1, 2012,  I know slow is the word, but  FEPBLUE seems to have a pretty good reputation to get your answer within 2 weeks max.  I just wondered about that word,  ON HOLD,  that's what the PC shows,  as in, are they waiting for something ?  Just wondering about the word, not the time frame they will take to review.  I had a 3 mo weight plan, started in May... they all have been slow.   I sure do not work that way on my job,

i have BCBS Fed Employee....and they did approve my surgery (10/20).  Sometimes it's a matter of not all the paperwork being reviewed, and they did ask for things again that i had given them.  I started the process in February, and was approved in September...and had an october surgery date.

be patient, but make FRIENDS with the person handling your request

betsey

Hi, thanks for answering-- pray tell, who would that be? They only let me talk to customer service reps. I keep hearing about the nurses or care management, etc, but I do not get past the cust serv people, whom, some have NO idea what I am even talking about. One guy said you are approved but on hold!  I am bit frustratred, as I have chased tests results and office managers to call back and just a very weird way of doing business to me.
I work for the feds, I should know better, but, they do call me Ms.Expedite at work- cause I am always pushing for signatures.        HMM maybe I should go to DC...  
Actually after surgery, I am thinking about looking for work there, my kids are moving away from my area Feb 2012- so I am free to go. but that's why I am trying to get this done, I really do not want to be alone.

I asked the contact person at the surgeon's office who i should call at BCBS....and she told me!  I ended up speaking with a very nice person who helped push the surgery through....

betsey

OH. Ok, well there is a receptionist guy at my drs. , he is very  very nice, but not sure he'd give me that information, and  the offc mgr has not responded to my emails in weeks... Oh well.. thanks though. I'll keep calling till someone give me more info or I get approved,

Hey  I just wanted to say that  that i work for bcbs fep in ohio andyou should be getting a case manager soon that will help with the whole process actually you can call customer servce on monday  an get the number,An lastly since everything has been recd it will not be that much long i wish you luck with everything

Thanks so much, when I asked if there was another person to talk to they said no- but that was the guy who said I was approved.. but on hold.  I will ask Monday. Getting done before end of year personally crucial as my youngest  and family wil be moving away from the area, then I will be alone. At 20 I woudlnt have cared but at 58, Irather someone be with me.  So thanks , I'll let ya know what happens.