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Re: Update - in NY - Insurance Issues

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,

I am so glad to hear that everything has been straightened out.

It obviously was meant to be that you were to have your surgery performed by

Dr. Rice. I know that he will do an awesome job and you’ll recover in no time…

Enjoy the cold one!!

– Husband of

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OH TRACY, I’m so excited for you!!!!!!!!!!!!!!!!

I’m so happy that things will go the way you want them

too!!!!

You will do fine!!! And the sooner it is over, the sooner you

can get back to a semi normal life. I said a little prayer that it would all

work out for you, I was hoping really hard that things would just work them

selves through!!!! All I can say is AWESOME!!!! Honey I’m so glad for

you. It took me 3 months to convince people that I needed to go there!!! Thank

God it didn’t you!!!!!

C Warren

Co-Founder

www.achalasia.us

From: achalasia

[mailto:achalasia ] On Behalf Of tldund

Sent: Friday, March 09, 2007 9:22 PM

achalasia

Subject: Update - in NY - Insurance Issues

OK, so talk about feeling like your mind is

just being played with.

After all the insurance issues I was freaking out over, and spending

my entire work day preparing information, statistics, thoughts and

reasons as to why Dr. Rice at TCC is the only one capable of

performing the esophagectomy on me on 3/29, I got a phone call at

just after 5pm today from my case manager at my insurance company.

Everything is being approved with Dr. Rice, as if it is in-network.

So that's good news, and we will be all set. Apparently, there was

an error when all the information was re-submitted, and they

submitted it to the wrong regional medical director (which explains

why it was a different person than who originally approved

everything else with TCC). My case manager basically said that after

we spoke yesterday, everything I was telling her just wasn't making

sense and so she looked into it again. She got everyone at every

level involved today, and by the end of the day had obtained a

verbal approval from the correct medical director, and assured me

that everything would be finalized next week.

Can I just say - WOW. What a whirlwind. First the drama of getting

the final esophagectomy opinion from Dr. Rice. Then processing that

info. and deciding to do it. Then living with that and the fear of

the whole thing....having restless sleep and dreams about it every

night. Now this. But here we are, and it's all set now. Yikes.

Needless to say, I am enjoying a cold one right now, hoping to take

the edge off, as it will be one of the last for a while I'm sure.

On the plus side, now this can still happen as planned on the 29th,

right?!?!?!? LOL As scary as it is, I can't wait for it to be over.

in NY

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You sure are going through it at the moment I hope now that things will settle down for you and no more problems arise.

I hope you enjoyed that cold one.

Keep positive it will all be over very soon.

Pippa x

-- Update - in NY - Insurance Issues

OK, so talk about feeling like your mind is just being played with. After all the insurance issues I was freaking out over, and spending my entire work day preparing information, statistics, thoughts and reasons as to why Dr. Rice at TCC is the only one capable of performing the esophagectomy on me on 3/29, I got a phone call at just after 5pm today from my case manager at my insurance company. Everything is being approved with Dr. Rice, as if it is in-network. So that's good news, and we will be all set. Apparently, there was an error when all the information was re-submitted, and they submitted it to the wrong regional medical director (which explains why it was a different person than who originally approved everything else with TCC). My case manager basically said that after we spoke yesterday, everything I was telling her just wasn't making sense and so she looked into it again. She got everyone at every level involved today, and by the end of the day had obtained a verbal approval from the correct medical director, and assured me that everything would be finalized next week. Can I just say - WOW. What a whirlwind. First the drama of getting the final esophagectomy opinion from Dr. Rice. Then processing that info. and deciding to do it. Then living with that and the fear of the whole thing....having restless sleep and dreams about it every night. Now this. But here we are, and it's all set now. Yikes. Needless to say, I am enjoying a cold one right now, hoping to take the edge off, as it will be one of the last for a while I'm sure.On the plus side, now this can still happen as planned on the 29th, right?!?!?!? LOL As scary as it is, I can't wait for it to be over. in NY

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Hi , What great news that is!!! Congratulations!!! I hope that you will now be able to have some rest before the big day arrives. For that day and the weeks of recovery I wish you lots of luck and strength. Isabellatldund <tracylb@...> wrote: OK, so talk about feeling like your mind is just being played with. After all the insurance issues I was freaking out over, and spending my entire work

day preparing information, statistics, thoughts and reasons as to why Dr. Rice at TCC is the only one capable of performing the esophagectomy on me on 3/29, I got a phone call at just after 5pm today from my case manager at my insurance company. Everything is being approved with Dr. Rice, as if it is in-network. So that's good news, and we will be all set. Apparently, there was an error when all the information was re-submitted, and they submitted it to the wrong regional medical director (which explains why it was a different person than who originally approved everything else with TCC). My case manager basically said that after we spoke yesterday, everything I was telling her just wasn't making sense and so she looked into it again. She got everyone at every level involved today, and by the end of the day had obtained a verbal approval from the correct medical director, and assured me that everything would be

finalized next week. Can I just say - WOW. What a whirlwind. First the drama of getting the final esophagectomy opinion from Dr. Rice. Then processing that info. and deciding to do it. Then living with that and the fear of the whole thing....having restless sleep and dreams about it every night. Now this. But here we are, and it's all set now. Yikes. Needless to say, I am enjoying a cold one right now, hoping to take the edge off, as it will be one of the last for a while I'm sure.On the plus side, now this can still happen as planned on the 29th, right?!?!?!? LOL As scary as it is, I can't wait for it to be over. in NY

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Gosh girl- You have had a mess you have been dealing with.So glad

today to read your insurance and all went through ok!!!

Its scary hun but it will over be a thing of the past before you

know it.Stay focused on that nice vacation when its all done and how

good several cold ones will taste then as they go down quicker!

Call me anytime if you want to talk- says he wants to talk to

you to give you some pointers on how to handle the nurses LOL. Hes a

pro remember-he he

Take care amd tell hubby hello for us.

Hugs-Tonia

>

> OK, so talk about feeling like your mind is just being played

with.

> After all the insurance issues I was freaking out over, and

spending

> my entire work day preparing information, statistics, thoughts and

> reasons as to why Dr. Rice at TCC is the only one capable of

> performing the esophagectomy on me on 3/29, I got a phone call at

> just after 5pm today from my case manager at my insurance company.

> Everything is being approved with Dr. Rice, as if it is in-

network.

> So that's good news, and we will be all set. Apparently, there was

> an error when all the information was re-submitted, and they

> submitted it to the wrong regional medical director (which

explains

> why it was a different person than who originally approved

> everything else with TCC). My case manager basically said that

after

> we spoke yesterday, everything I was telling her just wasn't

making

> sense and so she looked into it again. She got everyone at every

> level involved today, and by the end of the day had obtained a

> verbal approval from the correct medical director, and assured me

> that everything would be finalized next week.

> Can I just say - WOW. What a whirlwind. First the drama of getting

> the final esophagectomy opinion from Dr. Rice. Then processing

that

> info. and deciding to do it. Then living with that and the fear of

> the whole thing....having restless sleep and dreams about it every

> night. Now this. But here we are, and it's all set now. Yikes.

> Needless to say, I am enjoying a cold one right now, hoping to

take

> the edge off, as it will be one of the last for a while I'm sure.

> On the plus side, now this can still happen as planned on the

29th,

> right?!?!?!? LOL As scary as it is, I can't wait for it to be

over.

> in NY

>

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,

Thanks – I am also one of those

people that feel that things happen for a reason….although sometimes I

doubt that, as it doesn’t always make much sense.

I have the utmost faith in Dr. Rice. I

know this is going to be a difficult surgery and recovery, but at my age and

with my two little boys, a few hard months now is worth it to have the peace of

mind that I will be healthier and less at risk for issues in the end.

Thanks for your support. I’ll

probably be calling soon – your wife gave me her number to chat, and I

know she had a partial ‘ectomy by Dr. Rice, so she would be great for me

to talk to.

in NY

From: achalasia [mailto:achalasia ] On Behalf Of L. Warren

Sent: Friday, March 09, 2007 10:52 PM

achalasia

Subject: RE: Update - in NY - Insurance

Issues

,

I am so glad to hear that everything has been straightened

out. It obviously was meant to be that you were to have your surgery

performed by Dr. Rice. I know that he will do an awesome job and

you’ll recover in no time…

Enjoy the cold one!!

Husband of

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Hi ,

Thanks for you prayers and support. I got

your note yesterday and just didn’t have time at work to respond.

I appreciate all your help, and since you

had surgery with Dr. Rice, I will probably be giving you a call in the next few

days or early next week if you don’t mind. I’d love to chat with

you about it. Again, thanks for all your help and I’ll call you next

week! I can’t believe things are falling into place and I am really doing

this. At least I have my kids to keep my fear in check….I can only show

so much around them. So that’s good. Strength for them is more

important that my fear….I’ll wait until we’re on our way to

TCC (oh, and the 3 days before surgery that we have to spend out there) to lose

it. LOL

in NY

From: achalasia [mailto:achalasia ] On Behalf Of Warren

Sent: Friday, March 09, 2007 10:53 PM

achalasia

Subject: RE: Update - in NY - Insurance

Issues

OH TRACY, I’m so excited for you!!!!!!!!!!!!!!!!

I’m so happy that things will go the way you want them

too!!!!

You will do fine!!! And the sooner it is over, the sooner you

can get back to a semi normal life. I said a little prayer that it would all

work out for you, I was hoping really hard that things would just work them

selves through!!!! All I can say is AWESOME!!!! Honey I’m so glad for

you. It took me 3 months to convince people that I needed to go there!!! Thank

God it didn’t you!!!!!

C Warren

Co-Founder

www.achalasia.us

From: achalasia

[mailto:achalasia ]

On Behalf Of tldund

Sent: Friday, March 09, 2007 9:22 PM

achalasia

Subject: Update - in NY - Insurance

Issues

OK, so

talk about feeling like your mind is just being played with.

After all the insurance issues I was freaking out over, and spending

my entire work day preparing information, statistics, thoughts and

reasons as to why Dr. Rice at TCC is the only one capable of

performing the esophagectomy on me on 3/29, I got a phone call at

just after 5pm today from

my case manager at my insurance company.

Everything is being approved with Dr. Rice, as if it is in-network.

So that's good news, and we will be all set. Apparently, there was

an error when all the information was re-submitted, and they

submitted it to the wrong regional medical director (which explains

why it was a different person than who originally approved

everything else with TCC). My case manager basically said that after

we spoke yesterday, everything I was telling her just wasn't making

sense and so she looked into it again. She got everyone at every

level involved today, and by the end of the day had obtained a

verbal approval from the correct medical director, and assured me

that everything would be finalized next week.

Can I just say - WOW. What a whirlwind. First the drama of getting

the final esophagectomy opinion from Dr. Rice. Then processing that

info. and deciding to do it. Then living with that and the fear of

the whole thing....having restless sleep and dreams about it every

night. Now this. But here we are, and it's all set now. Yikes.

Needless to say, I am enjoying a cold one right now, hoping to take

the edge off, as it will be one of the last for a while I'm sure.

On the plus side, now this can still happen as planned on the 29th,

right?!?!?!? LOL As scary as it is, I can't wait for it to be over.

in NY

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, I am so glad your insurance is straightened out. Don't destroy that letter you wrote. I am sure it is an

excellent one. Upload it to the files as a sample letter

for other to use.

Good luck to you and remember "nothing is ever as bad

as it seems" .

Maggie

AlabamaAOL now offers free email to everyone. Find out more about what's free from AOL at AOL.com.

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Oh you will be fine, and I will be home all next week during the

day for the most part, I do work evenings so hopefully you don’t catch me

on one of those!!!!

Hope to talk to you soon, I look forward to it.

C Warren

Co-Founder

www.achalasia.us

From:

achalasia [mailto:achalasia ] On Behalf Of

Brown

Sent: Saturday, March 10, 2007 8:45 AM

achalasia

Subject: RE: Update - in NY - Insurance Issues

Hi ,

Thanks for

you prayers and support. I got your note yesterday and just didn’t have

time at work to respond.

I appreciate

all your help, and since you had surgery with Dr. Rice, I will probably be

giving you a call in the next few days or early next week if you don’t

mind. I’d love to chat with you about it. Again, thanks for all your help

and I’ll call you next week! I can’t believe things are falling

into place and I am really doing this. At least I have my kids to keep my fear

in check….I can only show so much around them. So that’s good.

Strength for them is more important that my fear….I’ll wait

until we’re on our way to TCC (oh, and the 3 days before surgery that we

have to spend out there) to lose it. LOL

in NY

From: achalasia

[mailto:achalasia ] On Behalf Of Warren

Sent: Friday, March 09, 2007 10:53 PM

achalasia

Subject: RE: Update - in NY - Insurance Issues

OH TRACY, I’m so excited for

you!!!!!!!!!!!!!!!!

I’m so happy that things will go

the way you want them too!!!!

You will do fine!!! And the sooner it is

over, the sooner you can get back to a semi normal life. I said a little prayer

that it would all work out for you, I was hoping really hard that things would

just work them selves through!!!! All I can say is AWESOME!!!! Honey I’m

so glad for you. It took me 3 months to convince people that I needed to go

there!!! Thank God it didn’t you!!!!!

C Warren

Co-Founder

www.achalasia.us

From: achalasia

[mailto:achalasia ] On Behalf Of tldund

Sent: Friday, March 09, 2007 9:22 PM

achalasia

Subject: Update - in NY - Insurance Issues

OK, so talk about feeling like your mind is just being played with.

After all the insurance issues I was freaking out over, and spending

my entire work day preparing information, statistics, thoughts and

reasons as to why Dr. Rice at TCC is the only one capable of

performing the esophagectomy on me on 3/29, I got a phone call at

just after 5pm today from my case manager at my insurance company.

Everything is being approved with Dr. Rice, as if it is in-network.

So that's good news, and we will be all set. Apparently, there was

an error when all the information was re-submitted, and they

submitted it to the wrong regional medical director (which explains

why it was a different person than who originally approved

everything else with TCC). My case manager basically said that after

we spoke yesterday, everything I was telling her just wasn't making

sense and so she looked into it again. She got everyone at every

level involved today, and by the end of the day had obtained a

verbal approval from the correct medical director, and assured me

that everything would be finalized next week.

Can I just say - WOW. What a whirlwind. First the drama of getting

the final esophagectomy opinion from Dr. Rice. Then processing that

info. and deciding to do it. Then living with that and the fear of

the whole thing....having restless sleep and dreams about it every

night. Now this. But here we are, and it's all set now. Yikes.

Needless to say, I am enjoying a cold one right now, hoping to take

the edge off, as it will be one of the last for a while I'm sure.

On the plus side, now this can still happen as planned on the 29th,

right?!?!?!? LOL As scary as it is, I can't wait for it to be over.

in NY

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