September 9, 2010

Waiting (with Bated Breath)

It appears that I have won the insurance wars.

The insurance website says the claims are paid, but I am waiting to be able to view the details.

Just to be sure. Because surely it can’t be completely done. Surely not. Not after all I have learned about how the business is done.

And what have I learned?

  • I have learned that ‘No pre-authorization required’ means that the charges can be denied on the back end.
  • I will call the insurance company for all future procedures. Beforehand. Taking names, dates, and times. I appreciate the healthcare provider’s office help. I do. I really do. But I am going to talk to a person at the insurance company. A live person. (Even if I feel that I have received some differing information depending on who I was speaking to this go-round.)
  • I will find out exactly what policies are used to determine if a procedure is deemed necessary.
  • I will hopefully receive something in writing.
  • If it takes longer to schedule something, so be it. Far easier waiting two weeks getting my ducks in a row, than what I have been through this past month.

Because I have, regrettably, and much to my dismay, lost sleep over this. Which is almost as aggravating as the whole situation itself.

As much as I would have liked to have believed it was all going to work out exactly as it needed to be, I found it hard to let it go, and not give it anymore thought that it deserved. And while I could let it ‘sort of’ go briefly, often, if I woke in the middle of the night, I could not shut my mind down from thinking what my next step would be.

It’s one of those areas that I had hoped that I had grown more in. But when it comes to thinking I should have done better, I didn’t do all I should have, and now it’s costing a boatload of money? I see I still have some work to do.

On the other hand?

I won.

(ETA: EOBs are up and in order.  Happy dancing has officially started!)

8 comments:

  1. WOOHOO!!! Sorry it was such a headache to get to this point, but boy did you do darned good!!!

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  2. What are EOB's?
    I am so happy for you. You really are a winner!

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  3. Woo-hoo! I am happy dancing along with you!

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  4. Tora! Tora! Tora! I fear they have only awakened a sleeping Mama bear.

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  5. Congratulations! and stay healthy so they can't mess with you again.

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