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lovesfarms said:
Trying to stay strong for my next job... Dh Medicaid isn't covering anesthesia to pull 2 decayed, impacted teeth, the pulp of his teeth have inflammation in them so novacaine won't work. Problem: dentist office won't fill out paperwork correctly that insurance needs. Sooo my job: I have papers from the judge, court ordered, to take to the dentist so he personally write a sentence telling the judge why he needs the anesthesia and signed by the dentist. So far I was not able to talk to the dentist- it's always the front desk. Trying to stay strong...
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Very difficult.

:hugs
 
lovesfarms said:
Dh Medicaid isn't covering anesthesia to pull 2 decayed, impacted teeth, the pulp of his teeth have inflammation in them so novacaine won't work. Problem: dentist office won't fill out paperwork correctly that insurance needs. Sooo my job: I have papers from the judge, court ordered, to take to the dentist so he personally write a sentence telling the judge why he needs the anesthesia and signed by the dentist. So far I was not able to talk to the dentist- it's always the front desk.
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This. Blows. My. Mind!

:hugs
 
@lovesfarms that is just a crock! Serious crock of pure crap. I'm sorry but the hoops that they make you jump through are just over the top. Many Times I'd sit at my desk with a doctor's nurse on the phone and have to tell them that medicaid is denying such and such patient their blood pressure medicine because it's out of their formulary. They nurse would have a few choice words concerning how they had tried every other drug under the sun and the lady didn't tolerate them. Then we would have to sit and go through her chart and find three different categories of medicine we had tried on the poor woman without success so we could get approval for an out of formulary medicine for a patient who really needed it. It'd take a good 15-30 minutes of taking me away from patients who really needed me so we could jump through the hoop.

DH and I were talking last night about why my doctor didn't pass along the results to the CT scan. I know he had seen it. Any more to make sure results get shared you as the patient has to get the results and pass it on to all of your doctors. My husband's conclusion is that medical care in America has gone to hell. I know in the 7 years since we retired I've noticed that it isn't the same, at least not the way we practiced medicine. If a patient came in with a paper that they needed signed. I told them to hang around for a minute, I'd go back and get him to sign it so I could hand it back to the person.

Patients always came first.

Well I'm on glass three of my magic potion. Starting to feel some ominous rumblings. The funny thing I find about miralax is that everything you read about it says that you can take no more than 34 grams per day in a single serving.

Then the GI specialist comes along and tells you to drink the whole bottle of the stuff in a span of hours. :lau It's like....whaaaaatttttt?
 
The dentist office took a copy of the judges' orders but I really doubt I will get anything. Half the time I call, no one answers and I told them if I don't get the email today, I would be calling tomorrow. DHs turn! The judge and insurance both think DH should be approved but aren't getting the info they need from the dentist. What can you do? The Drs I can contact through email if there's a problem but a dentist there is no way to contact if their office help decides to cause a conflict. He will likely end up going to a different dentist but has already done the x-rays and gets enough of them in a year to last a life time and every new dentist wants to do their own x-rays.oops... Insurance probably won't pay for a second set of x-rays in a years period. So what now?... Waits till the infection sends him to the ER so the insurance has to pay and then his Crohn's gets active again?? I don't have problems dealing with insurance companies and Dr offices, just dentists!
 

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