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Infertility Support and Discussion
Reply to "Referral and Authorization for MDIPA and Shady Grove"
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[quote=Anonymous]Hi, all. After an unsuccessful IUI last year with Shady Grove under BCBS, I'm trying to continue to IVF under MDIPA, but I've been stuck in this Kafka-esque hell with MDIPA. First the referral, the process for which I got a ton of conflicting information from various MDIPA customer service reps. Finally, I picked it up from the PCP in person and walked it over to Shady Grove. Now the authorization. I was told that the PCP needs to submit the request for authorization to MDIPA, and then MDIPA will pass along the authorization to Shady Grove. The PCP faxed it into MDIPA four times in the last two weeks, but MDIPA still doesn't have it in their records. I've been calling MDIPA several times a week, the PCP also talked to them directly, we confirmed the fax number several times, and the PCP's fax machine is working fine. All MDIPA says is that they don't know why they're not receiving it and that there's nothing I can do until they issue the authorization. In the mean time, I went ahead with my consultation, mock embryo transfer, and injection training (I'm 40 and really can't wait), for which Shady Grove charged me $600+. I'm hoping that MDIPA will reimburse me, since the authorization was requested (although not received) several weeks ago, but at this point, I wouldn't be surprised if they completely screw me. What do I do? Can Shady Grove submit the request for authorization instead of the PCP? The financial counselors in the DC office said no, but I couldn't tell if that meant that they can't or that they won't. Should I call another Shady Grove office? I hate insurance companies.[/quote]
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