shebnana
The Waiting
Jun 02, 2007
June 15th
I waited until late PM and I had not heard from Cathy. I called the new Doctor office and they put me through to Cathy. She was a little cold at first, (maybe still upset with me), but we talked and things seem to be okay. She said that BC/BS was going to give me a call to apologize, that they had been telling me one thing and her another. She gave me a time to see Dr Suggs on June 27th at 1:45. She also said my blood work came back okay and that my Surgery date would be July 11th. Gave me some other info, (I never got an apology but... that's okay). I did tell her that I am not a person to know that something is incorrect and not speak up. I told her I have always had a good relationship with my Doctor as well as the Nurse. She seems to be a little more humble, but I just don't know if she will ever not take this on a personal level. I hope so. Life is too short to not be forgiving. I could be very upset with the way this has gone, I should (and could have) had my surgery 2 months ago. Things happen for reasons, I haven't figured out what the reason for my wait is and may never, but I can't sit in spilled milk, I will be sour. I think God that my journey is near.
June 14th
I got a call from Rosie and I have been approved!!! Boy, did I WORK FOR THIS or WHAT????
I don't know what was going on, but I am so glad that my approval is finally here. PRAISE GOD!!!!
She gave me a date of June 27th to see the Doctor and a ?? date of July 11th for my GB Surgery. She said she would have Cathy call me friday morning with times and confirmation. She said she had my papers for my blood work, I ask if I could come by and pick up after work, she said okay. I went and got the papers and the blood work got done the same afternoon. WOW.
June 13th
Sarah called me back in the AM. She said there should have been no reason that the Doctor's office should not have submitted this on line. She said their access code is same as provider #. She gave me a Provider benefit number for the Doctor's to call. I have NO IDEA what is going on or who knows what to do??????? Called and gave Rosie the info (Cathy was there also) . They are going to see what they can do.
June 12th
I spoke with Sarah again and she informed me that things have changed a bit. I have a new case manager (BUMMER), but she was still going to try and help me, My new girl's name is Stacie. Sarah said she is still going to contact the Lady she knew at medical review and see what is going on. At 2:55 Sarah called me back, said she called her lady at medical review and she was out of the office, She didn't understand what the note on the account meant, and wasn't aware it had to be submitted on line for my approval. She told me she would get ot the bottom of this and call me back 6/13/07.
June 11th
Talk to Julie at BC/BS this afternoon, she said they have sent a letter to Doctor's office stating " Refer to pre-determination on line". This means Doctor Suggs office will have to submit online. After we were told could be faxed in. Called Rosie to tell her the letter was being sent and what is was reguarding to. She said they were told it could be faxed also. But that they still didn't have the number to submit on line (Provider #) She said Cathy would call the insurance company 6/12/07 in the PM. She told me she would call me back with the info. (never received that call) I called BC/BS back and a Lady by the name os Cynthia told me that my Doctor has a provider #, didn't know about the access number, but has Provider #, gave me a number to give my Doctor's office to call.
June 8th
I am still waiting for an answer. It can take up to 30 days, per my new BC/BS friend, Sarah Nicholes. She has really tried to help speed up the process, and has called to keep me updated with her knowledge. I am pretty impressed with her. My stuff was sent in for approval on May 23rd, It has been under Medical Review since May 29th, Sarah has called me several times for updates. She said this time of the year is the most busy. So many people schedule surgery at first of summer after kids get out of school. Makes good since I guess ........ I am still patiently waiting. (LOL) All things happen in God's good time. He know's how much I want this and he has a reason for making me wait!!! It will all be worth it once the pounds start to drop. Please continue to Pray for me that My approval will be soon. :)
June 2nd
Well it has been a week, my stuff is just sitting with BC/BS waiting for an approval! God is telling me to use those patients he has thought me to use. LOL!!! I have called all week to get an answer, they have been most helpful, but keep telling me it could take up to 30 days!!!!!!! Not 30 days, please. I know God, "patients"!!! I am trying to get past the hurt and anger I have felt with the happening of my Doc's staff. I know all things happen for reason, and I can not go back and make things happen any different, so I must move on. My Prayer is that God will watch over me during this waiting period and keep my patients in line, and that WHEN I have my losing time, he will be there by my side to take care of me. I also have on other little fav to ask of him. Please Lord, let the pounds fall fast. :). Thank you Jesus!
Waiting for Surgery date
May 18, 2007
May 19th, 2007
I go for my last appointment with Rosie Monday May 21st. I should have had my Surgery a month ago, but thanks to BC/BS, I had to wait one more month. Boy, the rules with these guys change rather often. But, finally my time is near!!! I can hardly wait. I am so excited, and ready for this to get under way. Cathy said as soon as BC/BS give an okay to go she will work me in with my appointment with Dr Suggs. I should have a date within a week. This should put me between May 30th and June 4th. WooHoo!!!! Keep me in your prayers. And may the pounds start to drop. :)
May 22nd, 2007
Well things are not working the way I expected. I don't know when I will have my day. I am so BUMMED out!!! Everything is all ready for go, and I find out Dr Suggs doesn't have a provider number, and it could be up to 90 days before he has one. He merged with another team of Doctor's, which is at a different location in Decatur. I don't understand everything that is going on, but I loose. I pray that this matter will be worked out soon. I should not have to deal with this. I just want my day to be over with. :(
May 23rd
I am even more BUMMED today! I am not sure how I feel about this whole situation. I called my insurance company today and I find out that my info can be faxed in by Dr Suggs office and they don't know this. I also find out that I could have had my surgery last month. My first visit was with my Family Physician and he documented this for GB. I was told by Dr Suggs office last month that I had to see only them for 7 visits and My Family Doc (which I seen in Oct) didn't count as a visit. I accepted that and didn't bother to call BC/BS (my fault). I call back to Dr Suggs office ask to speak to Cathy (nurse), left 3 messages, never received a call back. I spoke with Rosie (Bless her heart) telling her what I was told. She said that Cathy said that's not true. He had to have provider number (which I understand) but you sometimes have to call and ask for these things more than once. I totally don't understand, and I feel like I may be getting the run around. ????? The lady from BC/BS said there was no reason it could not be faxed in with info they request or Fed-X this info and I could get an approval. I'M BUMMED OUT about this!!!! :( (tears).
I finally after telling Rosie I was upset that I didn't even get a call back from Cathy. Just befor lunch, I get a very RUDE call from Cathy telling me that she heard I was mad at her, I told her not to take this personal, but I am upset about the whole situation. She went ballistic on me, told me she had to much to take care of and she was ready to walk out of this office!!! Said they got the number and she would be taking this to the other office (on HER lunch break) and faxing this to make me happy. Donna (very sweet lady) at Dr Adams office has been most helpful to me this week. She had informed me that there should be no reason that I couldn't get this sent in, and she would help Cathy with this process. She had left 3 messages Tuesday with explanations of what she needed to do and for her to call me back. Of course I never received the call until I get the call blessing (not the good Blessings) me out. I have never been treated so Rude by a Doctor's office. I know Cathy and Rosie have been stressed out, they have no help, with Darlene (the program coordinator) retiring, and loosing other members of their staff. But, I am the Patient! I don't expect special treatment, but I do expect to be treated with respect. I have no idea what is going on or what is going to happen. I am going on 8 months now, this should not be happening. I would expect this if it was a problem with BC/BS, but not with you nurse going Bananas on ya. I am floored!!! Don't know what to do. I think the world of Dr Suggs, and I have not spoke to him about this yet, but I will, and I guess we will go from there. I sure don't want to have to start all over again. Talk about STRESSED OUT!!!! Cathy is not the only one. Maybe things will work out, hope so.
May 25th thru 28th (Memorial Day Holiday)
This stinks, I have to wonder over this long weekend if all is going to be okay. I called on the 25th to speek to Dr Suggs, but no one answered the phone. I am sure if Rosie see's my number, she will not want to answer. I am really scared, if I stick with them on this program and my Doctor's nurse is ill at me, then what kind of care will I have???? I still think Dr Suggs is a good GB Physician, and don't know if he knows any of these things happening, but I feel I deserve an apology. I am dreading my next visit. When I hear from BC/BS, the next person I would see would be the Doctor and of course his NURSE. I understand about stress, but what happen to me is so unprofessional!! I hate that his office staff is not going good, but Darlene has been gone for almost 3 months now. She should have already been replaced. I hear that this will happen after Memorial Day Holiday. I have not heard from anyone in that office as for now. I have called my insurance company and they said I do not have a case number yet. They should have that in the next week, then it could take up to 30 days for this to happen. What do I do, I know I have to wait, but do I continue with Dr Suggs??? I have paid out all the $$ and this is just not fare. :( (tears again). Please keep me in your Prayers; I thought I was doing everything right. I have not missed one group meeting, or seminar. I have followed with my appointments as directed, don't know what I did to deserve this treatment, and it sure was bad time'n for me. I will let you know what happens next week. I hope everything works out. I sure don't like confrontation.
