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About codequery

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  • Surgery Type
    Gastric Bypass
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  1. So my packet has been submitted to my insurance for approval... Regence uniform (wa state employee). Anyone have this insurance? How long did it take to find out if you got approved?
  2. Multicare Tacoma

    Of course. Both Multicare and Chi have excellent surgeons.
  3. Multicare Tacoma

    Did anyone use Multicare in Tacoma, WA? I am currently going through Chi Franciscan, but they are kinda dropping the ball with my paperwork and I am thinking of switching. What kind of requirements and medical tests were needed? (I did all the ones chi requires, but curious if there is a difference).
  4. Vent

    I have done most of my communication via email (I like a written trail) and there have been two staff involved. One didn't have a problem with it, but isn't the one that submits to insurance. The one with the problem is the one that does that portion. I sent an email on friday and I expect Ill hear back on Monday or Tuesday. Depending on how that goes, will depend on what I do next. I have put in for a consult at another place, waiting on a phone call. So if all else fails, i'll go elsewhere. Though i am hoping I can get this resolved here, I otherwise have liked this place.
  5. Vent

    I contacted the place where my EKG was and the psych eval place, the hospital that did the EKG says the medical office has to ask for it. The psych eval place I am waiting to hear back back. I contacted them asking them to send over the results again. I sent an email this morning to the two people I am dealing with at the doctors office and we will see how that goes. If not well, I might see about contacting the doctor.
  6. Vent

    Vent... having a difficult time getting bariatric doc office to submit to insurance. I did a 6 month nutritional program through my former insurance, gave release to doc office (still haven't requested it). I also did 10 months of Weight watchers from august 2016 - may 2017 and even had doctor visits in august, October, April, (and several others) where my weight was recorded and even nutrition discussed - though the visits were not specifically for that. I have talked to my current insurance several times and they are very much encouraging me to have my doc office submit for approval. Especially now since my medical tests revealed a hiatal hernia and gerd (i knew I had gerd) and that sometimes a waiver is given. However, the person at my doc office is being a bit snippy about turning it in for approval because she thinks the people I talked to at my insurance are wrong. I am trying to get them to submit but agh. (they also still have to request my ekg results since hospital was not theirs and get the online bariatric psych eval place to actually send my approval results). A bit frustrated. Just in case I started the 6 month nutrition visits through my doc back on the 6th
  7. Insurance Question - Switch

    I got all my medical tests done today. Talked to doctors office and they forwarded my stuff to the surgery scheduler. The surgery scheduler will contact insurance and then contact me to setup an appt. The person said that they will let me know when they submit for approval.
  8. Insurance Question - Switch

    So I called Weight Watchers and got my weight history from August 2016 - May 2017 emailed to me (10 Months of Weight watchers!). I emailed it to my bariatric doctors office tonight and asked if this would work or if they needed the records directly. They responded back very quickly and said that should work. She was forwarding it to the person in the office that does the insurance stuff. I am hoping it will be submitted for insurance approval here tomorrow or Monday! Psych eval is already done and should be at docs office already. My medical tests I have an appt for tomorrow morning and there is nothing else for me to do except wait for insurance approval -- i really hope they approve the weight watchers instead of having to deal with my former insurance for getting their 6 month records, but according to my insurance when i called they happily accept weight watchers.
  9. Insurance Question - Switch

    I am currently waiting for my bariatric place to send me the records release forms for Molina and Weight Watchers. They will then get the records and process that part to my insurance. Love the place I am going through, they are great. I am also waiting on them to send the referral for all the medical tests to my docs office so i can get those scheduled too.
  10. Insurance Question - Switch

    Thanks for all the clarification! No, that certainly is not me. I am quite excited about the process and realize there will be times things do not go as fast as my lack of patience wants. hehe I had my psych eval tonight and passed -- another item off the list. Hoping tomorrows dealings with the insurance company go well.
  11. Insurance Question - Switch

    Aussie, I think you may have taken that comment more literally than I meant it. Also, I've been able to lose weight but then I gain it back and then some. I'm well aware it's alright to lose beforehand. I wasn't meaning that statement as a "woe is me" way, just eager to get it done, more of a aw sort of way. Just frustrated that I may have to repeat the 6 months.
  12. Insurance Question - Switch

    I am waiting to hear back on Monday. The Molina customer service leaves much to be desired. I called them to have them transfer my record over to Regence and they had no idea how to and had to get managers, supervisors, etc. Then they mentioned maybe doing a letter stating I finished my 6 months of stuff, but the guy needed to talk to his supervisor and figure out how. Then tried telling me, oh there was only 5 of 7 tickets sent to me, had to go through explaining that they were definitely sent and I have my ww booklet right here that says otherwise. That didn't seem like much of an issue (5 of 7 tickets would still be 7 calendar months anyway) I'm hoping they can get this figured out, I really don't want to wait 7 months for the surgery. What a waste of perfectly good weight loss time... o.o
  13. So here is the thing, my job covers my insurance (Regence Uniform Classic --- love it!), however, I had Molina before this. Currently, Regence requires me to have 6 months of nutrition visits with a (Nutritionist, Dietitian, PCP, whomever) that is once a month for 6 consecutive months within 2 years prior to surgery. This is the thing, from August 2016 - February 2017 I had to call a Nutritionist at Molina once a week and they paid for me to do my weigh ins at Weight Watchers which i had to send them the results each week (I still have the booklet as well showing the weigh ins). I plan to call Regence tomorrow, because technically... this surpasses what they are asking for. (Molina was once a week and Regence is asking for once a month, Molina was 7 calendar months whereas Regence only wants 6). Anyone here do something like this before? Did your insurance accept it? (Since its technically what they are asking for...)
  14. Consult tomorrow

    I had my consult -- love the place and the staff. The surgeon and everyone was very friendly and knew their stuff. My insurance, it turns out, does require 6 months of Nutrition appointments with either a nutritionist, dietitian, PCP, etc that is once a month and is done 2 or less years prior to surgery. Here is the thing --- I will have to call my insurance tomorrow. I currently have Regence Uniform Classic, but I had Molina before. From August 2016 - February 2017 I did weekly calls to a nutritionist that Molina has and they paid for me to go to weight watchers to have my official weigh ins (still have the booklet as well showing the weigh ins). This covered 7 calendar months that was with a nutritionist and was much less than 2 years ago. Theoretically, my new insurance should accept this as its actually more than what they are asking for (Through Molina it was WEEKLY visits, Regence only wants Monthly) and technically 7 calendar months instead of the 6 Regence requires. Anyone ever switch insurances in the process and have them accept that portion? Bypass is the one I will be having when the time comes. Surgeon and I both agreed that was definitely the way to go with my severe acid reflux.
  15. Consult tomorrow

    Initial consult is tomorrow! My insurance only requires what the surgery place requires luckily. I am really hoping somehow this can be done before the end of the year since I am almost at my insurance deductible as well. Not sure if that's possible? I am using chi Franciscan, anyone else in wa use them?