What can I do to help speed along this process?

I live in NH and my insurer is CIGNA Healthcare, HMO. My PCP is sending her referral now to the Dartmouth Hitchcock Clinic in Lebanon NH, about 1.5 hrs away from my home. I'm just wondering what I can do to help speed this along, as I may have a potential insurance problem within the next 9 months (may need to move, which means leaving my job and insurance). How long should I wait to call, and who should I call? Should I call my PCP to see when the referral was submitted? What happens after that? How do I go from a referral letter to a Surgeon's consulation? How do I go from the consultation to getting approved by insurance? I already know I'll be completely covered if approved. I don't want to be a pest, but I don't want people to sit on the requests, either. Also, does anyone know how possible it is, with Cigna, to take care of much of my Pre-Op appointments locally? Does anyone know what Dr. Burchard requires? Or Cigna? I know I've asked alot of questions....any help would be greatly appreciated! I respect and admire each and every person on this site, including myself, for having the courage to at least think about taking this huge step for themselves, or for volunteering their support to others. Thank you, and good luck to all! Katrina

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