Okay so to anyone following here's the recap. I had kidneystones, doctor ordered a stat CT. Pre-authorization was needed per insurance, the doctor's office submitted for one that day but didn't fill me in. Insurance claims it should have been an ultrasound first, doctor said CT is the standard of care.
On to the update.
I'm still gathering more letters for the final appeal through insurance. Doctor wrote a letter describing why it was ordered Stat and the patient relations coordinator is writing up a letter about the procedure for Stat CT's and pre-authorization within their system.
The doctors office also called me to say that if insurance denies this last claim, that the patient relations coordinator and the office manager agreed that the CT would be covered. I don't know if this would mean waiving the entire fee or if they would lower the price from 800. More likely the second one I would assume.
Honestly I was so thunderstruck in the moment that anyone in the medical field would go that far for me I forgot to ask.
I thanked them, and apologized for being annoying throughout the process. And they thanked me for never being cross with them.
So it's a semi update.
There are good medical professionals out there that really do try to fight the system.
If nothing else, this doctor will be my primary provider going forward.
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