stressing out, ambetter is playing games

I have a surgery coming up on the 7th. Up Uptil yesterday everything was fine, i got the pre-auth, had referrals from my pcp and even paid for the surgery during pre-registration which northside hospital in atlanta quoted 5,400 for surgery and the hospital cost after talking to the insurance. Now northside called me and said that Ambetter peach state called them today saying that northside is out of network and quoted my thyriodectomy for a whopping 42k which is absurd cause severe cases cost more than 40k, and that allegedly ambetter wont cover for my surgery. which i honestly am baffled cause all my doctors and surgeons are in northside and in-network and ambetter covers most the tests and i have to pay the remaining. my max out of pocket is 7,500. i just called ambetter and took the agent’s reference number, extension number and name and he said that northside is in network and my surgery is in network and will cover the costs since with what i paid i had already met the deductible. I gave his info to northside after they said two agents apparently told them i dont qualify. im going to go visit northside tomorrow and see what the issue is but im livid. my surgery is on monday. anyone help.

submitted by /u/Sekhkaali
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