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Parent Support Forums
General Parenting
Panic time: precertification standoff
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<blockquote data-quote="Critter Lover" data-source="post: 225847" data-attributes="member: 6297"><p>I am sure your insurance carrier is looking at the facility the same way if you were to go to a hospital. If the doctors feel that you need to be admitted then the facility would know that they need to call for recertification at the time of admittance. At least you know when you get to this facility that they need to do this and you can remind them that your insurance requires precertification before admittance....and the facility will do it......cause they know if they don't....they will not get paid.</p><p> </p><p>The only reason the insurance carrier is saying face to face evaluation because they want to make sure that he will definitely admitted. Good luck with the process and hopefully you will have a good outcome.</p></blockquote><p></p>
[QUOTE="Critter Lover, post: 225847, member: 6297"] I am sure your insurance carrier is looking at the facility the same way if you were to go to a hospital. If the doctors feel that you need to be admitted then the facility would know that they need to call for recertification at the time of admittance. At least you know when you get to this facility that they need to do this and you can remind them that your insurance requires precertification before admittance....and the facility will do it......cause they know if they don't....they will not get paid. The only reason the insurance carrier is saying face to face evaluation because they want to make sure that he will definitely admitted. Good luck with the process and hopefully you will have a good outcome. [/QUOTE]
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Panic time: precertification standoff
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