Miscommunication on Preauthorization
Looking for advice. My insurance, United, has a pre authorization policy for all procedures. I’m supposed to be having a surgery this upcoming Monday. It’s a really obscure surgery and there isn’t a specific code for it. Trans Abdominal Cerclage, if anyone was wondering. I can’t have another baby without risking a late term loss or long hospital stay for both me and then baby, which is why I need this surgery.
I’ve called the number on the back of my card and their answer for everything is that this need pre authorization. I’ve talked to my office and doctor a few times about this. The doctor said that he rarely runs into the issue of insurance deciding they won’t cover the surgery. They have also talked with my insurance twice about this surgery. Apparently, my insurance told them both times that I don’t need preauthorization and they’ll just need the procedure notes afterwards.
Is my office talking to a different, higher branch of insurance that has more clearance? Any ideas of what’s going on here?
submitted by /u/Intelligent_Jump9135
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