June 2, 2006
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Red Tape & Utter Confusion
So I finally rec’d a call back from my surgeon’s office regarding the contact information that I’d sent to them 2 weeks ago. Earlier this week I called them because I’d emailed twice and rec’d no response. Ten minutes after I talked with them they called me back stating that they’d talked to my insurance was told that they “were not allowed” to submit my info to my insurance because my “primary care physician initiated the process by sending a letter of recommendation” and therefore “he will have to submit your paperwork“. Umm…I don’t think so!
I was livid to say the least because first of all…they didn’t talk to the person that I instructed them to at my insurance and second…it would make absoulety NO sense for my PCP to be the one to submit documentation that was facilitated by the surgeon’s office.
So I called my insurance yesterday morning and spoke with the head of the consults team…she stated, “no…PLEASE have the surgeon’s office submit your paperwork as soon as possible. In fact, here…let me give you our fax number and they may fax it to us today.” Yeah…I figured that it would go something like that!
So I called the surgeon’s office back and gave them the information and told them what my insurance stated. I was then told that my paperwork would be “faxed to the insurance today”.
WOOfrigginHOO!!!
So now…I’m still waiting, but at least I’m waiting on my insurance and not the surgeon’s office. I just pray to God that they faxed ALL of the information that I gave them too…in fact, I think I contact my insurance on Monday morning to double check what they rec’d.
I want to make sure that EVERYTHING was sent out. I asked the surgeon’s office to let me know what was faxed…but didn’t get a response…not surprising though. 
This surgeon is wonderful and I’ve never heard anything bad stated about him. However, his insurance liasson…well, an expert she is NOT!
Well my peeps…have a great weekend!
Comments (4)
I had no idea this process was so stinking complicated! What a nightmare. Biggo hugs to you and mucho patience–anybody’d need it in this situation.
I hope you get the results you want and need.
(I hear that they’ve so fine-tuned that operation that it is all now done with lasers.)
Have a great weekend too. I was happy to see you – we haven’t touched base and visited each other in a long time. You know – I was working in a doctor’s office and I’ll tell you – between the doctor’s, the insurance, the specialists and at times, the lawyers, believe you me – NONE OF THEM know what they’re doing when it comes to paper work.
What’s the surgeon for?
Very nice to hear from you
This has been one huge bureaucratic mess, but we can see the light at the end of the tunnel… hang in there baby, I’m with you all the way! love you!