Appeal Succesful

Thursday Sept 5th around 2:30 I was denied my MRI by my Health Insurer. So on Thursday I was on the phone with my healthcare agent, who said, get the doctor to do a peer to peer with the company, my heath insurer uses to deny claims (yep, they can't do it themselves so they pay another company to deny coverage for them).

So I made two calls to my doctor letting them know that family history needs to be discussed during the peer to peer.

Friday AM, no word yet. I was worried, because I was still scheduled for the MRI, but the health insurer was not going to pay. So at 8:15 I'm back on the phone with the doctor, apparently he was in an educational meeting. So I then called my agent again, he was going to start up work up a case, but said, he really doesn't have much power and not to expect anything by the end of the day. I called the MRI location at 9:00 (more than 24 hours ahead of appointment). They gave me until 10:00 PM to cancel.

As you can imagine, all morning the anxiety began to build. Eventually at 2:45 the MRI location called and said they were canceling my MRI. What the... I thought I had until 10:00. So back on the phone with the doctors office, yadda yadda yadda, they are canceling. The nurse was helpful, put me on hold to see what was causing the delay. The nurse spoke with the doctor and the doctors resident, they were back on it. So more waiting. At 5:02 I called the doctor, no one picked up. Yeah, I was not happy. Just slumped over, loss of appetite sort of feeling. I got in the car and started driving home. I put the windows down and tried to turn the music up too loud as I was driving through the fan. I made my usual turn onto grove and the phone range at 5:18. Hello Mr. Holsten, this is the doctor, I'm doing my residency with your doctor, I just got off the phone with the company that your health insurer uses to deny claims. After speaking with them, you are now approved... something something something, you are a miracle woman, thank you. 5:21 the MRI location called to let me know I'm back on the schedule.

Happy days are here again.