I was scheduled, still am, for a fusion revsion on 6/9. Films (CT/Nuclear scan) show two loose screws in S1, pseudoarthrosis of S1-L5, partial collapse of L5 and a partial compression fracture on the right side of L5. Symptoms show continued compromise of nerve at S1 along with urinary retention and lumbar radiculapothy.
This morning the insurance company, kaiser, called me this morning and said it was denied, despite a neurosurgeon doc to doc because their doc can't see the pseudoarthrosis. they said I needed to have the CT and nuclear scan reread by a third party. They offered me a second doc to doc with a different kaiser neuor within 48 hours.
Now here it is on a Friday, my neuro is in surgery all day. I called his office and his assistant said she had just gotten the denial fax before I called. She was furious because according to my neuro he needed to have the thrid party radiologist's report and send it as an addendum and we would be all set. The denial was never mentioned to them, just that approval would not be given without the report.
Both the insurance rep and my doc's assisatnt assured me that there was plenty of time to get this settled before next week. I'm going to carry on making home and work preparations as if everything is going as scheduled. The only people who know, that it will effect, are my husband and my boss. The plan is to be ready for the 29'th and if not then, as soon as it is approved.
Thanks for letting me vent, I'm just so angry right now.