Denial appeal

So my husband was scheduled for an ablation of his heart. He had one last year and again the insurance denied it come to find out the Dr didn’t send requested info in or do the peer to peer in a timely fashion. So the hospital is eating that ablation. But now we have a new Dr new facility new issue second opinion and we are outside of the 6 month window from last one. When the Dr office sent in the preauthorization it got kicked back denied because it’s attaching to the old ablation. I have called UHC they told us what we need to do (the new Dr office) and to send an attachment with the preauthorization asking for old one to be closed out and that this is all new . They did that and they are now saying they cannot close the old out and they can’t accept a new pre authorization. They reach out to Dr office but don’t leave a number so when Dr office calls back they get the general authorization dept and that person has no idea what’s going on. So it’s a big circle jerk and time wasted . This is absolutely bullshit and I feel it’s a big game of denying for the sake of denying . Can I request to speak to someone higher up in charge ? What do I do?

submitted by /u/wherehasthisbeen
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