Hi, I am in the BCBS network from LA area, they are my network but not my insurance, i.e. "who actually cuts the check".
Yeah, that makes a lot of sense, imagine what all of us in the uni0n went through lol. However, everything that happens, goes thru BCBS first, a real pain since it adds another layer of complexity to the issue. This much I know for sure, my radiology bill so far is 300 bucks, that's it. The other 12k or whatever it was, was either paid (12,895 I just looked), or rejected as a contractual adjustment. Stanford is definitely in the network, my radiology bill came from Stanford. This was one of the FIRST questions I asked, since radiology can be a bit dicey sometimes, they can be IN the hospital but not a part thereof. Then you get a bill from Joe Blow radiology and it's ???.
All my radiology stuff came through on Stanford billing, so not sure why they are saying it's separate.
This much I know, is that the BCBS "turnaround" for approvals was very fast, in some cases 24 hours. Also, Alex may need to do the approval in December, i.e. the month of the procedure, just to keep things flowing well. IOW getting approval 1 month early for a necessary procedure throws a wrench in the works, my procedure was August 3rd so I'm with ya, same exact happened to me, came down to the wire but it all worked out just fine. I know that pins and needles feeling since there is so much planning going into your trip, when you are trying to concern yourself with getting mentally prepared and instead it's all this claptrap throwing a wrench in the works. It's ONLY November 10th, there is plenty of time in between now and then, and if anyone can get the ducks in a row it's Alex, and I don't say that lightly.
Deep breath andddddd exhale....
Keep us appraised, it will be interesting to see how BCBS does now that these procedures are becoming more well known. Hang in there. You can always pm me if you have any specifics I can help with, which aint much but feel free.
RRMS Dx'd 2007, first episode 2004. Bilateral stent placement, 3 on left, 1 stent on right, at Stanford August 2009. Watch my operation video: http://www.youtube.com/watch?v=cwc6QlLVtko
, Virtually symptom free since, no relap