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Insurance denied Insurance denied

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Unread 03-26-2007, 07:20 PM
Insurance denied

I had a TAH on March 5th. <Oops! Please don't mention insurance company names.> I don't know for sure.. but guessing the hospital billed wrong (coded wrong) My coverage was denied as a cosmetic procedure...Almost $22,000.00 . Now I did pay a PS additionally for a TT. But my stay and everything done was all hysterectomy. Operating time was only 2 hours and I only stayed two nights.Any words of wisdome would be much appreciated, I do intend on calling my ob/gyn office first thing.
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Unread 03-26-2007, 07:59 PM
Insurance denied

Yes, call your OB but also the hospital. Make sure they have coded for the Hyst too. I had this happen on other surguies I scheduled at the same time, one medical and one "cosmetic" only I was having tumors removed.
Unread 03-26-2007, 08:00 PM
Insurance denied

Did your dr. get preapproval? If so, fight the insurance company...if they pre-approved then the shouldn't be denying.
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Unread 03-26-2007, 09:07 PM
insurance denied

Yes, doctor had pre-approval. Oh trust me.. making phone calls first thing in the morning.
Unread 03-26-2007, 09:29 PM
Insurance denied

Good for you!!! Stand your ground. If they pre-approved then it shouldn't have been denied
Unread 03-26-2007, 10:01 PM
Insurance denied

Let's hope it was a mistake. I know from past experience if they code it wrong then the insurance won't pay. The hospital will have to resubmit with the right code. Good luck.
Unread 03-26-2007, 10:10 PM
Cosmetic surgery

I have said all along I had a 24,000. makeover and I can't show anyone!
I don't think you'll have any trouble getting the mix up fixed.

Unread 03-31-2007, 06:06 PM
Happy to say

Apparently it was just error and my insurance and hospital bills are cleared up.. I am very relieved.
Unread 03-31-2007, 08:08 PM
Insurance denied

Very glad to hear things have gotten cleared up. Sometimes just an early click or a space in the wrong place can be BIG trouble!

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