Melissah

This is a new one for me.

My group is Facey. I learned something new yesterday and I think I got this right. I called the utilization dept to see if they had got my paperwork from the surgeons office and she said no but she keep keep asking because they don't want their patients waiting. Then she went on to tell me the approval is done by the medical group. They said they have the privelidge of the approval process. The nurses go over it and decide if you are a candidate and sends the approval to the surgeon, then you get a date.

Am I understanding this right? I have an HMO too. Anyone else have this experience?

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katzz87

Could be true, it was in my case. But the NURSES did not decide to approve or disapprove...it was up to the medical group "committee" per my insurance company which was Western Health Advantage.

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Cathy

Height 5' 8"
288/171/170-180
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