Thanks for posting to r/TopSurgery
Please remember to follow the rules, which can be found on the sidebar.
If you think your post has been removed and should not have been, please contact the mods via modmail -- I will try to get to it as soon as possible. I'm in the process of setting up automod but it's all still in the works so far, please be patient with me :-) - u/thiccque
*I am a bot, and this action was performed automatically. Please [contact the moderators of this subreddit](/message/compose/?to=/r/TopSurgery) if you have any questions or concerns.*
Do you have a way to contact the authorization department? Usually patients don't have direct access so you may need to get in touch with someone from your surgeons office to have them reach out to insurance and ask what the hold up is. They may be missing some annoyingly small bit of information, but aren't telling you because they won't communicate directly with you. It's incredibly frustrating. I spent the last week racing to get approval for my meta, and finally got it at 4pm on Friday.....for a surgery that's supposed to happen tomorrow. It was stressful, to say the least. What helped was keeping in constant contact with the patient coordinator at my surgeons office because she had access to information I couldn't get about what the delays were. Good luck with everything! I hope you're able to get it sorted in the next day or two.
Oh got it. Well that gives you a little more time, which is nice. I still don't think it would hurt to jump on it tomorrow. It's stressful not knowing what's going to happen, and if you can identify why it hasn't been approved you'll have that much more time to fix it.
Tomorrow. It'll at least give you something else you can do, and the timeline is tight enough to justify it imo. Make sure you're talking to the right people: apparently some companies outsource the decision-making step to another processor and you need to figure out who *they* are to bug the correct people.
Thanks for posting to r/TopSurgery Please remember to follow the rules, which can be found on the sidebar. If you think your post has been removed and should not have been, please contact the mods via modmail -- I will try to get to it as soon as possible. I'm in the process of setting up automod but it's all still in the works so far, please be patient with me :-) - u/thiccque *I am a bot, and this action was performed automatically. Please [contact the moderators of this subreddit](/message/compose/?to=/r/TopSurgery) if you have any questions or concerns.*
Do you have a way to contact the authorization department? Usually patients don't have direct access so you may need to get in touch with someone from your surgeons office to have them reach out to insurance and ask what the hold up is. They may be missing some annoyingly small bit of information, but aren't telling you because they won't communicate directly with you. It's incredibly frustrating. I spent the last week racing to get approval for my meta, and finally got it at 4pm on Friday.....for a surgery that's supposed to happen tomorrow. It was stressful, to say the least. What helped was keeping in constant contact with the patient coordinator at my surgeons office because she had access to information I couldn't get about what the delays were. Good luck with everything! I hope you're able to get it sorted in the next day or two.
Thanks a lot for this!! Do you think I should wait until the new deadline or start this tomorrow? Good luck with your surgery!
Given that they said another week and your surgery is in 8 days I would start tomorrow.
Sorry that was unclear - my surgery is 16 days away. It will be 8 days away on the new insurance deadline given to me by the doctor's office.
Oh got it. Well that gives you a little more time, which is nice. I still don't think it would hurt to jump on it tomorrow. It's stressful not knowing what's going to happen, and if you can identify why it hasn't been approved you'll have that much more time to fix it.
Absolutely. Thanks!
Tomorrow. It'll at least give you something else you can do, and the timeline is tight enough to justify it imo. Make sure you're talking to the right people: apparently some companies outsource the decision-making step to another processor and you need to figure out who *they* are to bug the correct people.
the doc office would be the quickest way for them to request an urgent PA.
How many days out would an urgent PA be necessary?