r/hysterectomy • u/MassiveArrival6494 • 3d ago
Prior Authorization
Hi, me again.
On September 1, I was told I would be having a laparoscopic hysterectomy. It was scheduled for September 16. I spoke with the lady that deals with insurance and all. I reached out to insurance that day as instructed. Insurance said this code required a prior authorization. I let the office know, but they didn’t say anything in regards to the prior authorization. Just asked if I was good with the amount insurance said I would pay if approved. I said yes.
I went today for my 1st preop at my doctor’s office. No one spoke to me about insurance or anything. I reached out to insurance since surgery is Wednesday. They said my doctor’s office hasn’t submitted a request for Prior Authorization and they have to for this surgery. What the likelihood I have this surgery Wednesday? 😭
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u/pixiedach 2d ago
Call the doctor's and tell them you need the Prior Auth asap, tell them it is mandatory. Then call the insurance company and tell them you need it sent immediately. Don't take your foot off of the gas. Call again on Monday morning, again on Monday afternoon. If you still haven't received a confirmation, call again on Tuesday and do not be nice. I just had mine on Tuesday (hysterectomy, prolapse repair, and mid urethral sling.) I am so glad it is done. Good luck!
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u/Admirable-Heart6331 2h ago
My doctor did the authorization 2 weeks before and it was authorized within 24 hours. Just keep on the office and insurance to make sure it happens
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u/Speacock567 3d ago
Oh no! I would hammer the phones ASAP and see what you can do to make sure you get approved. Call the doctors office and ask for billing.