###I just got off the phone with the Drs office, and I AM APPROVED!!!!THANKS for all the prayers, it just shows the power of prayer. Now, I only have 12 days to be ready!!Thanks again, I am one happy girl!!####
The last time I had my 2 level fusion, 2 years ago, I had to take my insurance company to the state level of appeals to get my surgery. They initally denied my surgery the day before surgery.
Well, this time we started early for prior authorization. 2 weeks ago the Drs office faxed in my info for prior auth. She called last Monday and was told it was recieved and being reviewed. On Weds of last week she called to check status and was told they didnt have anything, and that she needed to get prior auth for surgery. The Drs office didnt tell me till today, as they didnt want to wreck my weekend. So today she calls and tries to find out where the paperwork went. I guess they gave her a general fax, and no one forwarded it to anyone. No one can explain why they said they got the info last Monday. No one can find it...
How do you loose 21 pages of fax for surgery request? The Drs office got the fax number for the direct spine fusion authorization and now have sent all 21 pages again... Something is very wrong here. I am very nervous now, as I have met my $10,000.00 ded and if I dont get it approved it will be another $10k after the first of the year. You think they have this figured out..You bet.. Please pray that maybe, just maybe things will go as planned. I need all the help I can get!!!
That and I have gone down on fentanyl patches for surgery so that it will work better afterwards, so I am hurting more than ever!!!AARRRGGGG