Followed up with the surgeon and Aetna yesterday. What a comedy of errors.
Turns out when the appeal was submitted, the lady didn't include all of the necessary medical codes. Therefore, Troy's surgery was only partially approved. They can open him up, remove the disks, decompress the spine, fix the facet joints, and something else I can't spell. This is all great news!
Except that they didn't approve the fusion to stabilize the spine after removing all of the other stuff.
Oh, and they can't "close him up" until they get that code too.
We are holding out for the entire surgery.....they have to resubmit to Aetna.
Seriously? What now?
Absolute insanity and ridiculous. Cannot wait to see you - even for a snipit of time - this weekend!
ReplyDeleteJeez. That is ridiculous. I hope they can push it through the system faster since its partially already approved.
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