Anyone had an insurance approval and then got denied after the surgery?
Help! I am in major panic mode. I had revision surgery on 5/22. I was first denied on 5/13 but then "supposedly" approved on 5/18. The doctor's insurance/office coordinator called me 5/18 to say that I was approved and gave me a pre-cert number. Because I find her to be incompetent, I called to confirm myself on 5/19 and was told that yes I was approved. Well now, 2 1/2 months later I got an EOB from the insurance denying my claim. They say it was never approved and the pre-cert number was actually a denial (now does that make sense?). They are reviewing it and bringing up phone records. I am glad that I have an email from the Dr's office showing an approval because there is no way in hell I am paying the bill. Has this happened to anyone else and if so what did you do?
The hospital bill is $63,000 and I am sure the surgeon bill will easily be $12,000. This will definitely cause financial bankruptcy. I am pissed and heart-broken all at the same time.
