Appeal Process is now underway
I sent in a letter of grievance with the
frustration of BC/BS preapproval process. My case was neither
approved OR denied. So when I carefully read my
manual,this was the only route to take. I got a call back
from a supervisor who was trying to help and said he
was going to hand deliver my letter to the appeal
board due to the urgency (Surgery is scheduled for June
14). He said I would hear from someone on that board
within 3 days. I didn’t. I called and spoke with a
Bridget. She said she sent a letter of acknowledgement
concerning receipt of my letter for appeal. She said they
have 30 days to respond yes or no. Also, she said they
would have an answer before the surgery date. Does this
sound good or bad? I’m suppose to have a bladder tack,
gall bladder removal at the same time. Do they get all
of the material that was originally sent in for
preapproval. I’m worried. I believe I can appeal up to three
times. Does anyone know?