Guest guest Posted March 27, 2006 Report Posted March 27, 2006 Good morning everyone! I am beginning to think the medical issues are nothing compared to the insurance and billing NIGHTMARES. I am going to write our ped's office a nice note (seriously) and thank them for never having screwed ANYTHING up in the 6 years we've been going there. That is quite a feat in my book-perhaps bordering on miracle material. I seriously may have to contact the Vatican to look into it. <laughter> I spent 2 hours on the phone today with insurance, eye doctor, insurance again, eye doctor again, insurance again.. The insurance folks show us as covered, but the eye doctor lady refuses to change the numbers.. When I got on with insurance the second or third time, the insurance lady called the doctor's office and explained that the referral number they had for was wrong, that it goes to , and if they use it, then it will mess up 's coverage when he goes in next time. They say that I am not covered, but the insurance says they got a referral number on Friday. I have not had an eye exam in at least 5 years. and need to have follow up because I had the skin graft on my eye (actual eyeball-white of my eye-12 stitches) and have never really kept up with it and am having problems.. The insurance lady tells the eye doctor lady that she will take out the authorization for , give her one for and get everything straight. She tried to give her my authorization number proving I have insurance..The lady at the doctor's office said that they HAD one for and hung up on the insurance lady! SO then I had to call and talk to the office manager and explain that everything could have been set straight BUT the lady at THEIR office hung up on our insurance rep!!!! She apologized profusely, but seriously, will an apology straighten out the mess? I told her that they need to get on the phone and speak to a rep and that the insurance lady who was hung up on has gotten her manager involved since their office escalated it by hanging up. I have NEVER had a doctor's office hang up on our insurance people! CAN YOU BELIEVE THIS!? Since my authorization went through on Friday, if they call again today (automated) they will get that I am denied b/c they already got it! SIGH.. BUT if they talk to a real-live human being they can get my number (which I have) ph still has a slight cough and congestion-- last night when I kissed him on the side of his face, he said it made his one ear hurt. Today he says they both kind of hurt. Did I get him in this morning? No because I was on the phone trying to get 's eye stuff covered this afternoon and by the time I got off the phone, we would not have gotten in and out of the ped's in time for our appointment this afternoon. The HR from Chris' company called me a few minutes after 8 this morning to let me know we were all covered under the medical plan, has his entire family covered and we are eligible. So let's just hope J's ears don't start hurting more. Peace Be With You, Pattie Don't let your past dictate who you are now, but let it be a part of who you will become. Quote
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