by bonnie (1096 Posts), Tue Aug 24, 2004 01:04 pm
I am so sorry that you are having to go through this. I also apologize in advance if you've already said this and I am having a pregnancy brain moment ([:I]), but here's what I suggest:
1- The HR dept has someone who should be able to sort this out for you. They either have them internally, or externally, but they are paying someone to handle these sort of things (it is better for them to deal with it than have employees who are preoccupied about insurance claims instead of their task at hand). I would explain the situation to them and let them loose on the insurance company. (the hr person may also be able to override payments depending if the plan in a self-insured plan or fully insured plan. Meaning, if it's self insured, the employer ultimately can TELL the insurance company to pay the claim even if it isn't something that is normally covered. If it's fully insured, than they don't have as much pull with the insurance company in telling them to pay the claim.)
2- If there isn't anyone who can help you, then go back to your doctor. The doctor HAS to know WHAT they are testing for or the lab CANNOT run the test. SO, ask the doctor HOW they are going to ask the lab to run the particular test that is in question. IF the doctor can't tell you, then ask if you can speak with the lab. Explain to them the situation and see what they say. They can't do anyting without codes. . . so they'll have to know what the code is.
If you need any futher help, let me know and I'll delve further into my "bag of tricks" for you, but these should work (or at least they did 90% of the time for me and my clients . . .)
Yonatan 7/10/2002 (35 weeks PE)
baby girl rosenbloom 11/10/2004
CHECK OUT MY WEBSITE . . .