13 Mar, 2019 → by ClaimboUser356308
preauthorization/case 1-[protected]

1

Preauthorization submitted for nerve ablation due to herniated and bulging disc pain (being treated over 12 yrs now by this dr). The authorization was denied and I was told I cannot get the info or why. We have spent 30 days trying to get info to be told now it's because it has to be medically necessary. The dr submitted FULL details, at length), on why this is indeed medically necessary. It has become a clear pattern by FL Blue to deny care and medications first in what feels like intentional stall tactics. In the meantime, I'm left to either go w/o proper care or have to pay for it myself as we spend hours on end being passed from person to person. It's a shame that BCBS, which used to be the best of the best and actually cared, now has no regard for patient care. This procedure is not a pleasant one but is our last try in a long long list of things (PT, epidural blocks, chiropractor, back braces, etc) before surgery. The next option if this doesn't work is multiple surgeries, which I'm trying to avoid and as medically necessary as it is, I have no doubt we'll run into the same opposition as we've seen already. I feel, as a senior in FL, that FL Blue is intentionally making approvals SO difficult and time consuming that Drs and patients alike finally give up. They don't give straight answers, refused to disclose my own patient answers to me and they certainly doesn't care about my quality of life or the fact I'm in excruciating pain 24/7. When did patient care become the least important part of the process? I understand you're a business, but our lives matter and if my Dr of 12+ years isn't the best expert to determine care needed, a clerk somewhere certainly isn't. We spend dozens of hours supplying info and on calls to be passed off repeatedly with no resolution. I'm beyond frustrated and disappointed that my health and my pain means so little to you. This isn't some cosmetic procedure nor some minor health issue. This is shameful to put $$$$ above care.
Helpfull? 0 votes

Post your comment:



Do you want to help? Probably you've just been in a similar situation, know the solution and want to help? Perhaps you are just a kind person who has advice on the merits. Please write your comment — you can do a good breed.

If you are actual Representative of Florida Blue you can contact the user using the comment form and help resolve the situation. The user can always mark his complaint as "resolved". Maintain your brand image, it is FREE.

Copyright © 2023 CLAIMBO.COM. All rights reserved.