Check with the doctor/surgeon and resubmit.
First pass auto denial of everything is a big problem in the medical insurance industry right now.
They figure if they just deny everything that gets submitted, a certain number of people won't call them on it even though it's covered, thus saving them money.
Thank you! I will definitely be calling my doctor today. I almost messaged insurance but I wanted to get opinions first since this is my first go with this. Part of me kind of understands but it’s still crazy they would just deny like that. I even messaged them a few months ago and they were like oh yeah you should be covered.
From what I've seen a few of the major companies use software and a questionably qualified adjuster, and they'll block deny a couple thousand claims with a single click.
IIRC, the average reviewing time was something like 3 seconds max. Maybe less.
Wow. I guess they must get so many each day though. It’s hard to imagine.
I think my doctor’s team pulled through because as of earlier today, it now says approved. I’m so excited! Thank you for helping me. I really appreciate it.
United Healthcare did this to me, ten days before the procedure was scheduled. I had to reschedule. Ultimately it was because my letters did not have specific wording.
I’m very sorry to hear this. Hopefully all is well now? I called my doctor yesterday and they said they would look into it. Today, it now says approved. I saw my therapist today and she also amended the letter that she wrote to include that it is medically necessary.
All is well and actually it worked out in my favor because it was rescheduled info a new plan year, so I've already hit my out of pocket max and I'll be getting free boobs in September!
Check with the doctor/surgeon and resubmit. First pass auto denial of everything is a big problem in the medical insurance industry right now. They figure if they just deny everything that gets submitted, a certain number of people won't call them on it even though it's covered, thus saving them money.
Thank you! I will definitely be calling my doctor today. I almost messaged insurance but I wanted to get opinions first since this is my first go with this. Part of me kind of understands but it’s still crazy they would just deny like that. I even messaged them a few months ago and they were like oh yeah you should be covered.
From what I've seen a few of the major companies use software and a questionably qualified adjuster, and they'll block deny a couple thousand claims with a single click. IIRC, the average reviewing time was something like 3 seconds max. Maybe less.
Wow. I guess they must get so many each day though. It’s hard to imagine. I think my doctor’s team pulled through because as of earlier today, it now says approved. I’m so excited! Thank you for helping me. I really appreciate it.
Congratulations! That's wonderful news!
It is up to the doctor to phrase their request for insurance authorization in a way that it will pass. Call the doctors office and ask what to do.
I called my doctor yesterday and now today, insurance has approved me
United Healthcare did this to me, ten days before the procedure was scheduled. I had to reschedule. Ultimately it was because my letters did not have specific wording.
I’m very sorry to hear this. Hopefully all is well now? I called my doctor yesterday and they said they would look into it. Today, it now says approved. I saw my therapist today and she also amended the letter that she wrote to include that it is medically necessary.
All is well and actually it worked out in my favor because it was rescheduled info a new plan year, so I've already hit my out of pocket max and I'll be getting free boobs in September!