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I started calling the day it was submitted. I have Horizon BC BS of New Jersey. Heres the deal - I called so many times that I think one of the phone operators messed up, and told me i was approved for my pre determination, AND pre certification, when in fact I was only approved for my Pre Determination.
This turned out to work in my favor, as the rep documented in the notes on my account, and they were forced to completely approve the surgery, after I threw a holy fit. I was able to bypass the whole 6 month diet thing, and 13 days later, i was approved.
Hey, I just followed their business rules, I dont regret it at all.
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