Is there any reason why the insurance companies are so... difficult to work with? I mean, really, it's rather unpleasant to have dealings with them--and woe to someone who needs to appeal a claim, which is how I ended up locking horns with them today.
I refused to let them brush me off, though, and for that I am proud of myself. I said several times that I needed a real person to speak to me and explain why I am being denied. And after talking to a very nice claims lady, she connected me with the doctor who made the decision to turn me down. He was very helpful and wasn't at all bothered that I am merely a client, not a physician, and that I am my own advocate.
Actually, I may have made some headway when I talked about standing up for the treatment I need and deserve. I also said that having to jump through all these hoops was taking a toll on me--mentally and physically. That having to call about this, and having to fill in the frequent OTRs was stressing me out. And how much worse do I need to get before they'll approve everything.
The doctor was encouraging, though, he did say I have a valid appeal and when I see Dr. Lisa later this week, I will let her know the outcome of the phone calls.
I am proud of myself. I did it. I was calm, rational and yet I still managed to get my point across. I was heard.
I refused to let them brush me off, though, and for that I am proud of myself. I said several times that I needed a real person to speak to me and explain why I am being denied. And after talking to a very nice claims lady, she connected me with the doctor who made the decision to turn me down. He was very helpful and wasn't at all bothered that I am merely a client, not a physician, and that I am my own advocate.
Actually, I may have made some headway when I talked about standing up for the treatment I need and deserve. I also said that having to jump through all these hoops was taking a toll on me--mentally and physically. That having to call about this, and having to fill in the frequent OTRs was stressing me out. And how much worse do I need to get before they'll approve everything.
The doctor was encouraging, though, he did say I have a valid appeal and when I see Dr. Lisa later this week, I will let her know the outcome of the phone calls.
I am proud of myself. I did it. I was calm, rational and yet I still managed to get my point across. I was heard.
what if this is as good as it gets?
1 comment:
I'm very proud of you!
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