Impatient with insurance for casting

[Guest guest]

I need to vent! Our insurance (UHC) has had the letters of medical

necessity and the prescription from our ped for over 2 weeks, and

still no answer. I want to do the casting asap, and am frustrated

with this waiting game. I called this morning and a supervisor is

supposedly going to get back to me today regarding the holdup. If

they can give us an answer today or tomorrow, we plan to do the

casting on Wednesday, if not...

Kerri from NY

impatient mom to (1/5/00) and (12/2/02) - hopefully

soon to be DOC-banded

[Guest guest]

Kerri,

Keep after 'em. Those insurance companies do enjoy the run around game! If

you don't hear back soon then keep calling them back. The squeaky wheel

gets the oil so squeak away!!

Marci (Mom to )

Oklahoma

--- In Plagiocephaly , " shannon152000 " <wolfekm@h...>

wrote:

> I need to vent! Our insurance (UHC) has had the letters of medical

> necessity and the prescription from our ped for over 2 weeks, and

> still no answer. I want to do the casting asap, and am frustrated

> with this waiting game. I called this morning and a supervisor is

> supposedly going to get back to me today regarding the holdup. If

> they can give us an answer today or tomorrow, we plan to do the

> casting on Wednesday, if not...

> Kerri from NY

> impatient mom to (1/5/00) and (12/2/02) - hopefully

> soon to be DOC-banded

[Guest guest]

I feel your pain, . It took UHC over three weeks to give us a

denial. And that was over the phone to CT. I had to call a couple

times after that to even get the denial letter - finally got it about

two wks after the phone call. And then it was only for one of our

boys. When I called to find out where the other letter was, they

claimed they never received pre-cert papers on him. HA! Like I hadn't

been calling and talking to them on BOTH boys the entire time! (We

also have fax verification where they received both!) I could NEVER

get them to return ANY of my calls - in my opinion, their " Care

Coordination " dept. is a joke - it's more like the " Run-Around "

department!

Good luck - keep notes of everyone you talk to, date, time and if you

left messages to call you. We got denied on grounds of " Cosmetic " .

We're fighting it!!!

mom to Nolan & , 10 months this coming Sunday! (DOC banded

3/26/03), & (3 yrs)

--- In Plagiocephaly , " shannon152000 " <wolfekm@h...>

wrote:

> I need to vent! Our insurance (UHC) has had the letters of medical

> necessity and the prescription from our ped for over 2 weeks, and

> still no answer. I want to do the casting asap, and am frustrated

> with this waiting game. I called this morning and a supervisor is

> supposedly going to get back to me today regarding the holdup. If

> they can give us an answer today or tomorrow, we plan to do the

> casting on Wednesday, if not...

> Kerri from NY

> impatient mom to (1/5/00) and (12/2/02) - hopefully

> soon to be DOC-banded

[Guest guest]

Kerri tomorrow that is good let us know!

beck

[Guest guest]

Kerri,

Sorry to hear that UHC is holding you up. I wish I had some words of

wisdom for you.

I see that you'll going to the NJ,CT! You're going to love Charlotte

she is great! We adore her. Where in NY are you? I too am in NY.

Please let us know when you hear from UHC, I'll be keeping my fingers

crossed.

--- In Plagiocephaly , " shannon152000 " <wolfekm@h...>

wrote:

> I need to vent! Our insurance (UHC) has had the letters of medical

> necessity and the prescription from our ped for over 2 weeks, and

> still no answer. I want to do the casting asap, and am frustrated

> with this waiting game. I called this morning and a supervisor is

> supposedly going to get back to me today regarding the holdup. If

> they can give us an answer today or tomorrow, we plan to do the

> casting on Wednesday, if not...

> Kerri from NY

> impatient mom to (1/5/00) and (12/2/02) - hopefully

> soon to be DOC-banded

[Guest guest]

,

You really have had the run around! Sheesh!! I'm to the point with my

insurance co that I won't talk to the regular customer service reps - I go

straight to the supervisor. When I was trying to get 's stuff straight I

never could get a supervisor to call me back. One day I called and they told

me the supervisor wasn't in yet. I told them I would hold. The CS kind of

paused and said it would be at least a half an hour. I said fine, I'll hold.

LOL!

Amazingly that supervisor was able to take my call in about 5 minutes. I was

just SO sick and tired of the run around. That insurance co is now out of

business. At the time I'm sure I was on their 10 most hated list. LOL!

Marci (Mom to )

Oklahoma

> > I need to vent! Our insurance (UHC) has had the letters of medical

> > necessity and the prescription from our ped for over 2 weeks, and

> > still no answer. I want to do the casting asap, and am frustrated

> > with this waiting game. I called this morning and a supervisor is

> > supposedly going to get back to me today regarding the holdup. If

> > they can give us an answer today or tomorrow, we plan to do the

> > casting on Wednesday, if not...

> > Kerri from NY

> > impatient mom to (1/5/00) and (12/2/02) - hopefully

> > soon to be DOC-banded

[Guest guest]

Marcy-I love it!! :} I can just imagine that Cust serv rep's face

when you said would hold a 1/2 hour. I will have to remember that

when I get the run around on the phone.

> > > I need to vent! Our insurance (UHC) has had the letters of

medical

> > > necessity and the prescription from our ped for over 2 weeks,

and

> > > still no answer. I want to do the casting asap, and am

frustrated

> > > with this waiting game. I called this morning and a supervisor

is

> > > supposedly going to get back to me today regarding the holdup.

If

> > > they can give us an answer today or tomorrow, we plan to do the

> > > casting on Wednesday, if not...

> > > Kerri from NY

> > > impatient mom to (1/5/00) and (12/2/02) -

hopefully

> > > soon to be DOC-banded

[Guest guest]

If you are planning on proceeding with the band regardless of insurance coverage, can you check with the insurance company to see if you can proceed to casting while the pre-cert is pending?

-Debbie ('s mom)

-----Original Message-----From: shannon152000 [mailto:wolfekm@...]Sent: Monday, April 28, 2003 11:13 AMPlagiocephaly Subject: Impatient with insurance for castingI need to vent! Our insurance (UHC) has had the letters of medical necessity and the prescription from our ped for over 2 weeks, and still no answer. I want to do the casting asap, and am frustrated with this waiting game. I called this morning and a supervisor is supposedly going to get back to me today regarding the holdup. If they can give us an answer today or tomorrow, we plan to do the casting on Wednesday, if not...Kerri from NYimpatient mom to (1/5/00) and (12/2/02) - hopefully soon to be DOC-bandedFor more plagio info

[Guest guest]

We are planning to proceed regardless, and are checking re our

options - we just don't want to undermine any chance at covg. They

told CT this afternoon that we should have an answer tomorrow. The

nurse that reviewed 's case referred it to the medical

director, so we have to wait for that person to finish their

review...

Kerri

> If you are planning on proceeding with the band regardless of

insurance

> coverage, can you check with the insurance company to see if you

can proceed

> to casting while the pre-cert is pending?

> -Debbie ('s mom)

> Impatient with insurance for casting

>

>

> I need to vent! Our insurance (UHC) has had the letters of

medical

> necessity and the prescription from our ped for over 2 weeks, and

> still no answer. I want to do the casting asap, and am

frustrated

> with this waiting game. I called this morning and a supervisor

is

> supposedly going to get back to me today regarding the holdup.

If

> they can give us an answer today or tomorrow, we plan to do the

> casting on Wednesday, if not...

> Kerri from NY

> impatient mom to (1/5/00) and (12/2/02) -

hopefully

> soon to be DOC-banded

>

>

>

[Guest guest]

Yes, that was a glorious and victorious day!!! LOL! I'm so bad.

Marci

> > > > I need to vent! Our insurance (UHC) has had the letters of

> medical

> > > > necessity and the prescription from our ped for over 2 weeks,

> and

> > > > still no answer. I want to do the casting asap, and am

> frustrated

> > > > with this waiting game. I called this morning and a supervisor

> is

> > > > supposedly going to get back to me today regarding the holdup.

> If

> > > > they can give us an answer today or tomorrow, we plan to do the

> > > > casting on Wednesday, if not...

> > > > Kerri from NY

> > > > impatient mom to (1/5/00) and (12/2/02) -

> hopefully

> > > > soon to be DOC-banded

[Guest guest]

Geez Kerri:How frustrating!!! I hope they give you an approval today, let us know. Hang in there.

Debbie Abby's mom DOCGrad MIshannon152000 <wolfekm@...> wrote:

I need to vent! Our insurance (UHC) has had the letters of medical necessity and the prescription from our ped for over 2 weeks, and still no answer. I want to do the casting asap, and am frustrated with this waiting game. I called this morning and a supervisor is supposedly going to get back to me today regarding the holdup. If they can give us an answer today or tomorrow, we plan to do the casting on Wednesday, if not...Kerri from NYimpatient mom to (1/5/00) and (12/2/02) - hopefully soon to be DOC-bandedFor more plagio info