I had initially stumbled across this request when checking our online insurance portal on July 18. Our doctor sent over all of the information insurance requested that day.
Each week I would check the status of the claim, and each week it said they still needed the information submitted by August 30 or they would deny the claim.
On August 6 I called our insurance, and they claimed they had never received the information from our doctor in July. Knowing this was untrue, I informed them that we would resend the information along with the initial fax confirmation later that it had been received. Just like the last time, the amazing staff at The Valerie Fund sent Phoebe's entire file over to insurance.
After coming home from Cincinnati and starting to piece together our next steps I checked our online portal to see if they had finally approved the claim. It was August 29.
When I logged on, the claim was completely blank with "not approved" in the status box. I immediately called the insurance company.
They told me that our doctor had not submitted the information in a timely manner, therefore they were denying the claim.
I explained to the woman on the phone how we had sent the information TWICE in the past 44 days and that our 45 day time frame was not even up! I also explained to her that during this entire time frame that neither the doctor or myself had received a letter of potential denial. If I had not checked online, we would have never learned of the steps that needed to be taken in order for the claim to be "considered".
She told me that we could try to resubmit the information they were requesting to reopen the claim. While I was on the phone with the insurance rep, she called the doctor's office, and had them submit the information specifically to her so she could have it attached to Phoebe's claim. She was unsure of how long it would take to reopen, or process the claim but told me to check back in two weeks.
So here we are two weeks later, the claim still says "not approved" on our online portal, and no new claim has been opened.
Looks like I will be making yet another call to insurance tomorrow.