Okay here is the long tale. Went to my Urlogist he recommeded an implant procedure. They call my inssurance carrier. The dr office recieves a letter that approves the procedure on Feb 22, They catch the procedure code is not correct and get the right code verbal from the carrier(this is documented in the carriers system). March 16 the day surgery is done. Two months later all the bills from the various parties roll in and the Insuarance company isn't paying. I contact the carrier and my dr they have conference call how to clear the matter out, The dr files the appeal and it get rejected. Now this procedue was out patient and around 30k when you add it up. The hospital pre approved the procedure, They called me and setup the pre-op testing prior to surgery and told me my out of pocket. So the issue is I cannot order surgery and have no idea what the codes mean. I have escalated the issue. I,am trying to figure out the next step if they keep screwing me. Now this is no fly by night issurance carrier its one of
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