I am 15 weeks today! Wooo hoooo!!!! That means 5 more weeks until the halfway point and 9 more weeks until viability (which also happens to be Christmas). I have to say that everything is flying by so fast. Though, on the other hand, I feel like I haven't seen a doctor in forever! When part of your weekly life is going to the doctor at least once for 6 months in a row, it gets odd when you don't go for a while...and I still have two more weeks until my next appointment. What to do, what to do.
Pregnancy symptom: EMOTIONAL! At least I'm going to blame this on the pregnancy. I can do that now, you know. I have been having insurance woes. I thought my insurance was finally starting to cover me, but when I went back and looked at that explanation of benefits, it was Russ'. I don't know how I got them mixed up. We don't carry the same insurance so I should have realized the format was different. So I recieved an EOB last week saying my first pregnancy-related ultrasound and consult were denied. I called the insurance company and they said it was because the clinic had coded it under infertility. I then called the clinic and the billing/insurance lady just had surgery and was out for 6 weeks but was calling people from home so I left my name and number and asked her to call me. Then the waiting began. Sigh. So on Wednesday evening, after bible class, I get home to another statement saying more services had been denied. I have recieved EOB's for all of my infertility services. I should be covered from this point on. Thursday morning I called my clinic back and told them what was going on. One of the front desk lady's told me that she would have the billing lady call me and that she had given her the message. I get that the billing lady just had surgery and is probably cranked out on pain pills, but I was still just a tad annoyed that this wasn't on their list of priorities. Ok, I also know that I'm not the only patient and this probably isn't a huge deal for them. A few minutes later, the receptionist calls back and says that the billing lady thinks it must be a Global Fee. A what? What are you even talking about? The receptionist doesn't know enough about it to explain it to me so I said that I would just call my insurance company and talk to someone there which I proceeded to do. I reached someone and they said that my claims have been denied because they requested clinic charts to prove that I'm pregnant and these services weren't for infertility. What? I thought everything was coded wrong. No, the billing lady denied any wrong coding. I had to call the receptionist back. She sent the information over a week ago. At this point, I'm completely overwhelmed and I have no idea why. This wasn't a huge deal. I had only been on the phone for an hour. That's not bad when you are dealing with insurance. But, I started crying. At work. I went to the bathroom and had to sit in there and sob for a few minutes. This was a stupid thing to cry about. I have no idea what was going on with me! This is the part I'm blaming on the hormones because I knew when I was crying that it was stupid, but I couldn't stop. It was like I had no control over the tears streaming down my face. At least it wasn't the racking, gut-wrenching sobs that I get when Russ and I have a particularly bad fight. I finally composed myself and called my insurance company back. I got the same girl I had talked to before and told her that the receptionist at my fertility clinic had sent all the information. She looks on her computer and says "Oops. There it is. I just didn't see it." followed by a chuckle. Luckily the headquarters for the company is out of state and I couldn't bash her head in with my telephone.
At the end, I got it worked out and they are reviewing my claims. I should get an EOB saying they will cover everything they have denied (pregnancy related). In other news, I'm signing up for my lamaze and breastfeeding classes today. I'm excited about that and I can't wait! That's all for now folks.
February in the Park....
4 weeks ago