Fed w/ MD IPA here....I had a referral from a PCP, brought it to my RE, and they did all the authorization. Additionally, I was scheduled to start my cycle like 4 days after I got my referral. My office got the authorization back dated.
I think if you're having a nightmare, it's likely your RE's office. I had no problem getting everything straightened out. Drugs were a different story - I had to pay out of pocket for a few things, but then got reimbursed by MD IPA very soon thereafter, as the drug approval and the cycle approval are apparently different departments.
Good luck everyone!
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