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Re: Digest Number 3365

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Hi , my name is Robin and I just received approval I think? through United

Health Care with Dr. Rabkin in San Francisc (I have a letter that is

doublespeak). I spent several hours on the phone this morning trying to get

info out of United to no avail and of course the girl in Rabkin's office is not

at work today. So here are my questions:

1. Does a procedure code of 43846 mean I get the surgery or will this code have

to be revised to accomodate the BP/DS which I cannot have lap because of

previous scar tissue.

2. My United is not aligned with a medical group so I have to pay up front -

does anyone know what this fee is? and what does United reimburse exactly (I

know they will pay 80% of the fee that they show but will not share $$ fee

amount with the patien only the doctort) - so far I am in the dark - and they

won't go in network even though Rabkin is the only guy in SF who does.

If anyone out there in SF has had experiences regarding this matter with United

Health Care - I would really appreciate hearing from you so I know how to

proceed with the doctor and the insurance company. Apparently CPHC is covered

100% because it is an in network hospital - only the Doctor and his fees are

iffy.

Robin/ pre op 235 lbs

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