Insurance denied surgery.
I’m so sad and I don’t know what to do now. I’m not sure what the next step is. Has anyone dealt with this situation before? The surgeon has multiple procedures he wants to do on my hip:
Repair of hip joint socket cartilage using an endoscope- Approved
Reshaping of hip socket using an endoscope- Denied
Reshaping of thigh bone at hip joint using an endoscope- Denied
Removal of hip joint lining using an endoscope- Denied
This is what the letter from insurance stated. The 2nd procedure was denied because “these surgeries may not be requested together.” I can understand why the 3rd one was denied cause it states imaging wasn’t sent by my doctor. The last one is denied because “this surgery can be approved when this lining is inflamed from certain diseases. The note sent to us by your doctor do not tell us that you have one of these diseases.” But I’m confused cause why would my surgeon want to do that specific procedure?
Ugh, so annoyed. I guess I call my hospital to see what I do next?