Stuck in limbo with unresolved claim

Here is the timeline of one of my insurance claims due to surgery:

8/2 – had d&c surgery for missed miscarriage. Hospital sent a claim with total 18k of various codes

9/5 – received denial of claim due to medical records needed.

9/14 – insurance received the appropriate medical records and said it will take up to 30 days for review

10/9 – insurance medical review team has begun reviewing the claim. It says “processing”

10/15 – customer service is not sure why there was a delay between 9/14-10/9. They say additional time is needed and it can take up to 14 days for medical review team to finish reviewing the claim. They say possibly it is being held up due to one of the codes might not be medically necessary but they can’t tell me which will and will not be covered until the review is finished. They say one denied code should not deny the whole claim.

I desperately wanting to move on from this traumatic event. I would like to switch my insurance for bigger coverage coming this new year. Will it be resolved before the year end? Is there such a deadline for insurance to review claim?

submitted by /u/Practical-Double-279
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