My surgeon's office reported someone else's information on my pre-determination!
I found out that my surgeon's office recorded someone else's information in my chart and reported incorrect information for me to my insurance company. I went back into my surgeon's office where they re-weighed me so they could submit the correct information to my insurance.
My insurance company denied me because of this incorrect information. Now I don't know whether to send in appeal to my insurance company or just have my surgeon's office re-submit my information as a new pre-determination. Any suggestions? I'm afraid that my insurance company won't believe me that the surgeon's office submitted information of someone else. I don't want them to automatically deny me again because they think I'm just re-submitting information (BMI) that DOES qualify for coverage.
Any opinions?