All ready for surgery...maybe

  • Thread starter Thread starter kyma3
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Emily and Beachgirl,

I am trying (breathe, breathe...)

There was an argument over how to give the clinical info to the insurance company - company wanted it left on voice mail because the nurse who was supposed to take it never answered her phone, or returned their calls. Doctor's nurses refused to leave it on voice mail. It all came down to Wednesday when they finally talked, and then the insurance nurse refused to approve it. Then I get a letter dated 2 days before they even talked saying they were denying it because I didn't have any of the problems approved for fusion - but they had no info yet (duh.) So, after a flurry of involving me on Thursday (like I could do anything) it all came down to a request for a Peer to Peer discussion - my doctor, their doctor. Everyone hoped to catch my doctor yesterday to tell him but he went into surgery and then home before they could. So, if the discussion doesn't happen on Monday, and if they don't approve it, everything gets canceled.

In the meantime, the pain has gotten far worse while waiting for surgery. SI joints have flared up for some reason, sciatica pain down to my feet has suddenly developed with a vengeance, and I've developed direct spine pain mostly in the sacrum. Flexibility is down to nothing without large muscle spasms...in other worRAB, I feel like a wreck :D So, as I said to my hubby who was throwing a fit along with me, worse comes to worse we'll take a new MRI which will show everything falling apart and beyond their ability to deny anything.

Blah.
 
I'm all ready, if the day is ready for me!!

If hubby called to straighten it out they'd cancel my insurance ;)
 
Hey Paula I know you are on pins and needles right now but it sure sounRAB like the doctor's office is on top of it today. Isn't it a shame that the doctor did call Friday and they didn't call him back? Sometimes I think insurance companies just want TOO MUCH control.

I want you to know that I am thinking of you and I know everything will be okay. I will be thinking of you and praying for your quick and speedy recovery. Please let us know how you are doing when you feel better.:)

Gentle Hugs
Linda:angel:
 
Insurance companies make me so mad! They think they know better than the doctors what's wrong and how to treat it, even though they've never seen us!

I hope it all works out! Be sure you let us know either way!

Emily
 
It was approved at 12:50 this afternoon!!!

This was after calls by me too, again, begging everyone in their offices to drop normal protocol and to get their medical director to phone my doctor asap. Actually managed to get their medical line's nuraber, the director's name, and called him and begged him to help stop the telephone tag.

Now I can resume the normal pre-op worrying. Oy

:jester:
 
Paula, not sure if you are gone...in the hospital....but just wanted to wish you the best once more....we will be fine...chemicals can be a good thing..Dr. gave me a little something extra yesterday..and I am now mellow!!
Will speak with you on the other side of our surgeries...weeks down the road!!!


Leslie
 
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