ANA Discussion Forum

General Category => Insurance => Topic started by: ColleenS on April 16, 2017, 06:27:11 pm

Title: Denial letter - 3 days before my pre-ops
Post by: ColleenS on April 16, 2017, 06:27:11 pm
Has anyone else had this happened to them and get it resolved in a day or so? I would not be happy to have to reschedule everything if it takes more than a couple of days. I am pretty sure this will get resolved - hopefully, tomorrow. Apparently, they wonder why I could not have the procedure done at a lesser level care or an ambulatory care? Ha! Ambulatory care - outpatient? I am traveling out of state, but it is in my network PPO. So aggravating though - but I feel this must happen quite often ::)

I have read where it seems standard after 3 days of hospitalization to have to resubmit the claim. Seriously, just another thing we need to have to deal with
Title: Re: Denial letter - 3 days before my pre-ops
Post by: Patti on April 17, 2017, 01:33:39 pm
Wow!  I hope you get the issue settled!
Title: Re: Denial letter - 3 days before my pre-ops
Post by: alabamajane on April 17, 2017, 01:34:47 pm
Colleen,
I did not have this happen to me but have you contacted or heard from anyone at Vanderbilt or at your doctors office? I'm pretty sure they could help you resolve this,, it has happened to others I have read about. It's sad and  just adds to your Stress!

Good luck,,
Jane
Title: Re: Denial letter - 3 days before my pre-ops
Post by: ColleenS on April 17, 2017, 02:19:59 pm
I have contacted Vandie and they are working on it. Still waiting for the word to proceed with my pre-ops that are scheduled on Wednesday of this week  :-\
Title: Re: Denial letter - 3 days before my pre-ops
Post by: ColleenS on April 17, 2017, 09:07:43 pm
Hurray! BC & BS has reconsidered and has decided my AN surgery is a necessity now - they have graciously agreed to let me stay in the hospital for three days. WOW! I am so glad I have paid for years and years to get this kind of hassle when I really need it. Anyway, we are once again a clear "go" for surgery.
Title: Re: Denial letter - 3 days before my pre-ops
Post by: alabamajane on April 18, 2017, 06:51:50 am
See there!! Good for you,,, stress relieved. I hope you get out of the hospital in 2 days,,,  ;D

Let us hear from you, ,
Jane
Title: Re: Denial letter - 3 days before my pre-ops
Post by: ColleenS on April 18, 2017, 07:14:26 am
Thanks Jane!