Question:
Anyone else ever had their insurance company do this to them before?

I received two letters from Ochsner yesterday. The first one I opened was approving 3 hospital days for my surgery. The second one was denying my surgery because they do not consider the surgery medically necessary! Why would they approve the hospital stay and not the surgery! I am so confused and angry! What do I do now? Anyone else have Ochsner Total Health Choice? Any help you could offer would be greatly appreciated. I will be calling the WMC first thing in the morning to see what my next step should be, just wanted to see if anyone else had this happen to them before. Thanks--Monica    — MONICA W. (posted on November 16, 2003)


November 16, 2003
Look at the dates on them. Does the one approving the hospital stay have a later date? I'm guessing that it will turn out all right but you will have to call and make sure you get another letter in writing that clarifies this situation. You do not need any hassles after surgery. Good Luck and let us know what's up.
   — zoedogcbr




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