Dr. Regan and ADR Explant Surgery

[Jim M2]

Dr. Reagan's office let me know today that he is scheduled for a peer to peer discussion with BCBS tomorrow, Friday 8/22.

[sahuaro]

That is good news. I was not afforded that kind of review by my insurance.
It also means Dr. Regan's staff has been busy on your behalf.
Good luck and please let us know.

[Maria]

Wishing you the best there as it sounds like Dr. Regan is working to make this happen. Hope you get the auth and surgery is soon rescheduled.

[Jim M2]

BCBS told me they could not contact Dr. Regan when they called on Thurs 8/21 for the peer-to-peer. No wonder, the peer-to-peer was scheduled for Fri 8/22 according to Dr. Regan's office. ???

Because BCBS could not get hold of Dr. Regan their process closed the claim. I don't know if Dr. Regan's office is aware the claim is closed, they won't return my calls.

Back to square one. They need to resubmit everything to get a new claim going.

[mmglobal]

Jim, I don't know if the problems are from BCBS or Regan's office. For this surgery, he's the guy with all the experience that is so valuable. Regardless of where the problem is, I hope you'll keep your eye on the prize and simply work through the process, however f'ed up it is.

Insurance nonsense has been one of the most frustrating aspects of dealing with spine patients and the medical community. There is no reasonable excuse for how screwed up the system is.... it's been like this for the 2 decades I've been in this game.

Good luck... thanks for keeping us posted.

Mark

[Jim M2]

Dr. Regan is the only surgeon who will touch my spine. The root cause of the problems are on the side. They have given me other bad information such as my cancelled surgery date was 8/8. It wasn't 8/8 it was 8/6. I just want to let Dr. Regan's staff know what they are dealing with.

[vnf]

Jim

I can tell you that I'm not impressed with Regan's office.
I was told Natalie the surgery scheduler would contact me.
She never did, I ended up calling her.
I sent her a copy of my insurance card and asked her to call me and tell me that she received it okay. She never did, I had to call and ask if she received it.
"oh, let me check..oh ya, I see it"? You don't check your email for a week?
Then I asked how long the process usually takes to get an answer back from the insurance company which I was told is usually about a week.
Still haven't heard anything.
Sent an email asking what the status was.
Still haven't received an answer.

Sent Magda an email asking her is she could ask the doctor a question for me.
Told her what the question was. She sent me an email back asking me if I wanted to pay for a $325 office consult to have the doctor call me.
One question could not be asked without a consult fee?
They are supposedly scheduling my surgery and I couldn't ask a question?

I'm not really impressed at this point.

Hey US doctor's, the overseas doctor's respond to email within a day or two.
Many gave second opinions for free.
I have asked Zeeger's a zillion questions....he has no problem with this.
Hmmmm I wonder why we keep going overseas!