What is the name of your state? California
I've been trying to get pre-authorized for surgery. I continually call the Insurance company to have them give me some consistant, concrete answers... but they apparently have no way to do either.
I called the other day and asked for a faxed copy of the requirements of this surgery and they said that that wasn't possible, but that they could tell me a few things verbally (over the phone). She continued to say, we need some information from your doctor in a letter. I asked what info, they said my doctor should know.
What's up with this? Is there some way I can pressure them into giving me their policies on certain procedures? When I get off the phone I am more confused than ever before.
Are there legal precedents in place to clarify insured-insurer communication? Are they allowed to use these smoke and mirror tactics to confirm or deny at their whim? They have given me nothing concrete and so there's nothing to hold them to!
Thanks for any help,
Gryn
I've been trying to get pre-authorized for surgery. I continually call the Insurance company to have them give me some consistant, concrete answers... but they apparently have no way to do either.
I called the other day and asked for a faxed copy of the requirements of this surgery and they said that that wasn't possible, but that they could tell me a few things verbally (over the phone). She continued to say, we need some information from your doctor in a letter. I asked what info, they said my doctor should know.
What's up with this? Is there some way I can pressure them into giving me their policies on certain procedures? When I get off the phone I am more confused than ever before.
Are there legal precedents in place to clarify insured-insurer communication? Are they allowed to use these smoke and mirror tactics to confirm or deny at their whim? They have given me nothing concrete and so there's nothing to hold them to!
Thanks for any help,
Gryn