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Originally Posted by yorkietalkjilly  Golly, wish they could have kept him but he probably didn't meat the clinical criteria of his insurance plan. Unless some doctor wants to battle an insurance nurse for up to 30 minutes on the phone and then have the overnight stay request pended for review and then perhaps denied with no payment issued, they will usually defer to the insurance company protocols. And if he does keep the patient and the plan doesn't pay, the hospital calls him to task and sometimes, even a patient will not pay a bill his insurance company has denied. So, the hospitals try to accommodate the plans' protocols as much as possible to avoid problems. That is probably what is going on here.
I'm sure sorry he's had this happen and hope that he has no more problems. It is not that easy to get in to see a top-notch cardiologist quickly unless you already know one. I sure dislike that he could be waiting for care for a while! I will keep up praying. |
Luckily one of my Sister-in-laws co-workers has a sister who works for one of the cardiologists on staff at The University of Tn Hospital. She is going to get him in, hopefully quickly. Doesn't our lovely insurance system work so very well
