BrownBrokeDown
Well-Known Member
Just wondering how many people have experienced the same type of issues I have had. Rude and inconsistent information too say the least. It's been a comedy, lol.
Before procedure:
Told will get a call the day of procedure to verify I did have procedure
Day of procedure:
no call
Day after procedure:
no call
2 days after procedure:
I call them. I am told they have everything they need.
4 days after procedure:
I get a call stating they need paperwork from the doctor when I do my followup. Then told they would be reviewing and approving/disapproving claim 2 days before followup (7 days after procedure). I ask repeatedly how can you approve/disapprove without all the paperwork. Response "That is the way it works." I call my claim manager. She says, "no, we have everything we need, but yes we are approving the claim on that day and will give you a call."
7 days after procedure:
no call
8 days after procedure:
no call
9 days after procedure:
I call them. "no, it's too early to approve your claim. It will be processed 11 days after procedure."
11 days after procedure:
I get a message on my phone stating that claim was approved to date "a". Problem is doctor said a week after that. I call them and the claim manager is on vacation. I leave messages.
23 days after procedure:
It is today. Still no call from my claim manager. I cannot get in touch with her. Luckily, I still have a month to get that last week taken care, because it will probably take that long, lol.
Before procedure:
Told will get a call the day of procedure to verify I did have procedure
Day of procedure:
no call
Day after procedure:
no call
2 days after procedure:
I call them. I am told they have everything they need.
4 days after procedure:
I get a call stating they need paperwork from the doctor when I do my followup. Then told they would be reviewing and approving/disapproving claim 2 days before followup (7 days after procedure). I ask repeatedly how can you approve/disapprove without all the paperwork. Response "That is the way it works." I call my claim manager. She says, "no, we have everything we need, but yes we are approving the claim on that day and will give you a call."
7 days after procedure:
no call
8 days after procedure:
no call
9 days after procedure:
I call them. "no, it's too early to approve your claim. It will be processed 11 days after procedure."
11 days after procedure:
I get a message on my phone stating that claim was approved to date "a". Problem is doctor said a week after that. I call them and the claim manager is on vacation. I leave messages.
23 days after procedure:
It is today. Still no call from my claim manager. I cannot get in touch with her. Luckily, I still have a month to get that last week taken care, because it will probably take that long, lol.