A question from a practitioner
We are in network with Cigna.
February we submitted a change of office address, they confirmed the change was effected in writing soon after.
April I submitted a request for auth for a patient, they approved it but state that we were out of network for that location. The patient is alarmed, understandably.
I called multiple days and spoke to at least 8 people at Cigna auths and contracting, including getting a 3 way call between those two departments to fix the OON error. Each time I was assured it was fixed, but each time I checked the auth it was not. Auths says we are out of network, contracting says we are in.
The patient loses all confidence in us, and goes down the street to a competitor to have her $6k of treatment done.
What recourse do I have? Of course I can report to the Insurance Commissioner, but so what? And I will appeal, but again, how does that compensate all of my time, loss of revenue and loss of reputation?
Has anyone gone through this before?
submitted by /u/Pika-the-bird
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