What else can I do on my end?
So I need a prior authorization for a surgery on my ear – I have a cyst growing and if it gets to my brain I can potentially die if let alone.
My surgeon office summited paperwork and then I was denied due to Medical Necessity Denial – Supposedly surgeon office "appeal it" over the phone, it was approved and surgeons got a paper from Cigna saying it was approved.
Now Cigna is saying the paper is not valid and that they need to submit the appeal (again I guess)
Cigna Rep 1: Says they got the paperwork yesterday and its under review also that they did a peer to peer appeal. But have to wait for answer.
Cigna Rep 2: They never did the peer to peer and that they need to submit the required paperwork.
Surgeon Office: Still saying they submit everything.
Don't know who to believe and I'm tired of calling Cigna since Monday – everyone has a different answer. Getting to the point of just fuck it and let it play out. My surgery is on the 22 and its indeed a Medical Necessity.
What else could I do?
submitted by /u/la_ne
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