I need your help please!!!!!!!!!!!!!!!!
I just do not know what to do or even what way to turn at this point.I know i refuse to give up but i need some advice please.
I got denied for my surgery for this reason=not enough documentation of diet plans in the last two years.Ok,my family doctor has done plenty of it so here is the problem.My family doctor has got me VERY upset at this point.I went to see him today to disuss this after i talked to him yesterday and he wanted me to come in so he could call the insurance company.I went to see him and he said that he didnt know what else the insurance company wanted him to do as he has plenty of documents with my diet history.i do understand how he feels but you would think he would want to talk to someone and see what he can do or am i wrong for thinking that way.He did take the insurance companies number and said he would do what he could do.
My question is what do i do if he does not call and try to take care of this?If he just blows it off what do i do?
Hey Sandra,
I'm sorry for this frustrating time you are going through right now, but if I were in your shoes I would get a hold of my policy and read it through and call the insurance company and ask them specifically what it is that they want and then let your doctor know. Be sure to ask for specifics. I had to stay on my Dr's office to get my surgery and I completely believe that if I hadn't I wouldn't be post op today. The squeeky wheel does get the oil. What ever you do, do NOT give up this is your health and your decision to do this. Hope this helps and maybe others will have some more suggestions for you.
Take care,
Anita
You have to do your own leg work. Don't depend on your Dr.
Ask the insurance company EXACTLY was missing from your file. Get a copy of what they have (your medical records) so that you know what they are looking at and what they are looking for.
Then do your best to locate and submit whatever it is they need. Keep track of who and when you call and what they tell you.
Keep copies of every single piece of paper that you send them.
Use this anger and frustration to fuel you and sustain you... it won't be easy but it can and has been done.
Good Luck!!!
Thank you so very much for the great responses.I found out what it is why they denied me.They denied me cause there is not enough documentation on diet plans in the last two years.which is a crock of crap cause he has.So now its like what do i do cause there is plenty documented?I proved all of this to the insurance company already so now what do i do?I think the only other thing i can do now is write a appeal letter!!!

