OK so I emailed my insurance co today and they didn't respond in 6 hours so I called them.
I had a nice young man answer the phone. I asked when I could expect the denail letter so that I can start the appeal process. He stuttered (I said it can't be that hard Blue Cross sent me the approval last week). He say's can you hold for a minute? 20 minutes later he said the denail letter is "in house right now- that they re writting it"...
OK I take a deep breath. I asked who denied me and what were her credentials? He says it is an RN. I said my NS RN or who? He says an RN in our office. When I pressed him for a name he said it will be on the denail letter- when I get it.
I take another deep breath as he tries to hurry me off the phone. I said wait a minute. I need more information. OK- he says what else do you need? I said I want a copy of my file sent to me so I can review what my NS office has sent in and see if there is anything pertinent missing. He doesn't want to send it. I said look, I am trying to make sure all my ducks are in order for when I start the appeal process. I said you legally had 10 days to get me the denial letter and it has been more than 10 days.
I also asked for an updated benefit book. He stops me and says I need to go to my HR for that.... Really? He says I should get a new one at the end of the year... Is he that stupid? I need the current one that they are basing my denial off of. I never recieved a new one this year. I will call my HR tomorrow.
Newest symptom- Sharp Pain in the front of my neck almost in my throat. Constant hand/arm burning and tingling and sharp pains in my neck at the top of my shoulders. I did speak with a nurse last friday but my NS was in surgery.