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Since it's Sunday...I just had to rest and try not to worry about...

Sunday, June 12, 2011

those denied claims with my health insurance company. They don't open until 8 tomorrow morning....so...

I kept pretty busy today taking 2 friends out for brunch. (Involved driving about 40 miles)...then taking 1 of them to a grocery store..

Then I got the oil changed on the car...then I got a car wash and carpet shampoo.

Went shopping at an Asian grocery store and cooked squid and stir fried veggies with rice noodles for dinner.

I am pretty tired from all the running around and am just too tired to worry about those insurance denials for now. Just hope I can sleep better than I did last night.

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  Member Comments About This Blog Post:

BE-THE-CHANGE 6/12/2011 9:43PM

    Try not to worry...it should all work out.

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MCGS62 6/12/2011 9:07PM

    keep on the doctors offices sometimes the billing people screw up the billing codes and have to resubmit the bill correctly.

Hope you get some rest!


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My health insurance company is driving me crazy!!!!

Saturday, June 11, 2011

So I was in the hospital a couple of weeks ago and I have already received denials of coverage for $20,000 worth of bills. I called them and they said they needed my Medicare information (I just became eligible on the 1st of May) and they said they had asked for this info and I had not sent it....they said they would reprocess my claims and it would be straightened out in 6 to 8 weeks....so I thought everything was okay....

And then just now I looked at my health insurance account on line and see they have denied some bills from back in March and April (about $2,500) worth of bills with another note of "insured has not given sufficient information." But I don't remember being asked for any information....

I find this very upsetting and sent them an email and asked them to contact me (I gave them my work number and my cell phone number) so I can give them this "missing information" and in the meantime I am really ticked off that I have to jump through hoops to get these bills paid...(I have never had problems like this before)....

The $2,500 worth of bills are for 2 months of edema clinic treatment which was ordered by a vascular surgeon I saw. I remember calling the insurance company before I started this treatment to be sure it was covered and they said it was. So I guess I am just perplexed by all the problems getting the bills paid.

I hope it is just a temporary SNAFU but if I end up owing $2500 for this I don't know what I will do other than take it out of my retirement fund and discontinuing further edema treatment (even though it is working so far).....

I want to scream, cry and run away from all the bull****...... emoticon

  
  Member Comments About This Blog Post:

CATLADY52 6/12/2011 5:17PM

    It seems to be par for the course with insurance companies. Hang in there. emoticon

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FITMARY 6/12/2011 3:53PM

    Try to stay calm. I'm having a similar problem with a visit my son had back in Nov.! They just can't seem to understand their own system and the many offices don't seem to talk to one another. But don't give up and try not to lose your temper or your patience (hard, I know!). You will get it worked out eventually! I agree: it does help to get the name of the person you are talking to and write everything down with dates. If you can get a sympathetic person at the agency, stay on the phone with them on hold while they call the hospital to ask your question and then come back on with you with the answer. That helped me with one charge. Still trying to arrange the other one...

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BE-THE-CHANGE 6/12/2011 5:16AM

    I do like being able to check this stuff online but I hate the fact that now they have stopped notifying you entirely. It's all on us to keep after it. I always try to check right away when we have had some sort of medical procedure done, but usually I am too early and it is still being processed. Then I forget to go back unti the next thing happens.

I hope they get it all straightened out quickly.

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SOFT_VAL67 6/12/2011 12:04AM

    my suggestion, not that it will help, is to always have a third party present when you speak to them on the phone, such as a friend, husband, relative on the other line, listening as a witness and also, if you can, record the phone calls, and let them know in advance, just as you get a notice on some phone calls that it may be recorded, let them know why you are recording it, always, always when you have to send them anything in the mail, pay the extra few dollars to have it certified and get the notice that it has been received by them.....its so messed up that the insurance companies deny people payments, etc and say we failed to send documents, etc, to them in time, but they take their sweet ass time getting anything to us....just as they are doing me over my surgery.
i attended an insurance class, and went to the state exam in frankfort ky to become a licensed insurance agent, i failed the exam by 7 points and boy am i ever happy i did....i would hate to be a glorified a@@hole....good luck to you

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MAMABECKTN1959 6/11/2011 9:41PM

    My husband and I have noticed the same problems with our company insurance plan, and I know my parents have run into the same problem. I have started getting the person's full name, date and time of conversations and writing the information down. I also request that they follow up with a statement in writing of the notation made to the account. It does seem to help. Also, show your doctor who ordered the tests, and see if they can't help as well with a written letter of the necessity. Hope the suggestions help a little. Good luck.

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Check out supercook.com It's Thursday....treat day at work...

Thursday, June 09, 2011

I resigned from the "treat list" over a year ago...

I still lust after those treats and try to avoid walking by the file cabinet where they put them on display...

I thought of starting an alternative treat group (with only healthy treats like veggies and fruit) but decided just to bring my own healthy treats instead as most of the people in my office don't eat very healthy foods.

Toiday I am bringing carrots, banana, watermelon and celery...all zero points on weight watchers....

P.S. I am holding my weight loss from last week.... emoticon

I learned somewhere (who knows where?) about a cool website called Supercook.com..... it is a web site where you find recipes based on items in your fridge and cupboards...

I have found and eaten 2 recipes so far...

First one: I put in ricotta and found a very neat dessert made in single servings for a chocolate pudding made with 4 ingredients: Ricotta, cocoa, splenda (or stevia) and water. Microwaved in less than a minute and delicious. Title is chocolate ricotta, very low calorie and tasty.

Second one: I searched for things to make with couscous and papaya...
Came up with a couscous pudding, made with couscous, fruit juice and topped with papaya. (This one has endless possibilities for different flavors of juice and various fruit toppings.)


Try it...my daughter said she found some ways to eat all the canned salmon she has on hand..

  
  Member Comments About This Blog Post:

CATLADY52 6/9/2011 1:41PM

    An interesting site. There can be an almost unlimited list of things in our cupboards that can be put together in ways that might be unusual a first.

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BE-THE-CHANGE 6/9/2011 1:05PM

    Sounds like a great treat!

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PATTYKLAVER 6/9/2011 6:46AM

    Great idea! I wish more people had that thought!

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Wednesday...hump day....

Wednesday, June 08, 2011

Appt went well with dr yesterday. Another prescription to take.

My new goal for myself is to find a new internist and reduce the number of prescriptions I m on if possible. My list just keeps getting longer it seems.

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  Member Comments About This Blog Post:

BE-THE-CHANGE 6/8/2011 9:00PM

    That sounds like a good plan!

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MOMMA48 6/8/2011 7:23PM

    emoticonI know what you mean -- one prescription after another -- and I wish I could get off a few myself. I hope you are able to and also to find an internist that you can work with to lower those meds and still feel well! emoticon

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It's one of those

Tuesday, June 07, 2011

The alarm went off at 4:30 and I wish I could sleep another hour....Another dr visit amd on Friday I have a 2nd PT visit for my neck. The first session on the neck traction machine may have actually helped. I am bringing my CPAP machine so hopefully I won't feel dizzy when I finish the second session on the neck machine. If I get a home machine I am going to figure out a way to be more comfortable with the headgear as the back of my head was numb after the trial, due to the hard surface.

I have a job at work today sorting about 3000 (not exaggerating) insurance forms and stuffing them into envelopes. That should keep me out of trouble.

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  Member Comments About This Blog Post:

CATLADY52 6/7/2011 3:46PM

    Have a seat while you do them. emoticon At least you have a job. emoticon

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BE-THE-CHANGE 6/7/2011 8:43AM

    Watch out for paper cuts! (I hate those...)

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PATTYKLAVER 6/7/2011 8:28AM

    I'm sorry you're having such health issues! Hoping that soon things will get better.

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