More paper work

Just when I thought is was going to be okay!

The insurance company gave a "tenative" approval that requires the surgeon to use a lap in addition to the TVH. This from some insurance general physician type!

Well you can guess how well that went over over with the master of all egos (read surgon). Some sort of P-match occurred and now here I am the day before waiting for a review from a gyno
Dr.

It took me three interviews to find a Dr. that would just boldy go and do the TVH without the lap. So imagine my disgust that they think they know what is best for me. All this s----y service and it is not even with an HMO!

May or may not be a hyseter-sister any time soon.

What was the insurances companies reason for insisisting on a lap?

Hi Mjo,

Hope this little piece of info will help put you at ease........I was an insurance biller/authorization clerk for ob/gyn's for 15 years. The surgeon has the right to change his procedure once you are out, if he feels this is best for the patient. The insurance company has no power once they approve a procedure because things change in the O.R.

As long as your doc performs a hysterectomy of anytype during surgery you will be covered. As long as the procedure he performs is in the same "family" of codes.........all hysterectomies
would be in the same general category and therefore approved.

Sooooo bottom line an approval is an approval............relax!!! They may request the op note after the fact if they want to be a pain, however, your doc's insurance person has probabally been through this before..............

Best of luck tomorrow!!! Will be thinking good thoughts!!!