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03/17/2005 23:50
Anonnot registered
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03/17/2005 23:50
Anonnot registered
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Insurance
Hi,
I think you misread my post - I think his insurance company WANTED preauthorization but because there was non - refused the procedure.
Please correct me if I am wrong.
Anon
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03/17/2005 23:48
Stevenot registered
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03/17/2005 23:48
Stevenot registered
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Insurance
If you don't get pre-authorization than they can deny coverage based just on that, and ignore all of the issues. I suggest that you apply for pre-authorization then fight it, if denied.
Steve
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03/17/2005 23:05
dygernot registered
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03/17/2005 23:05
dygernot registered
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Insurance
My insurance company does NOT require pre-authorization for this type of surgery.
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04/26/2005 23:23
WWJnot registered
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04/26/2005 23:23
WWJnot registered
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Insurance
Some insurance pays much higher amounts for out of plan surgery that is not in your home state.
I have no idea of the logic, but mine pays more for out of plan in Conn. than in NY City.
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05/16/2005 23:26
Stevenot registered
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05/16/2005 23:26
Stevenot registered
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California HMO-Pacificare 2
Sorry all, I neglected to mention that my NA with Dr. Eaton was in May 2004. My pre-authorization request was denied in March, BEFORE NA, and then this appeal was denied in July.
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