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Co-Occurring Disorders

Managed Care is Evil

Answered by Jim LaPierre, LCSW, CCS

Question

My insurance company is giving me the run around. While attempting to get into inpatient duel diagnosis rehab. They are not responding to the different facility who are attempting to get claims approved. Today i'm finally picking up my referral from an in network psyc dr. for in-patient rehap. What key elements need to accure for insurance company's to have no choice but to authorized treatment

It sounds like your insurance company is hoping that if they delay long enough that you will cease your efforts.

I urge you to be dilligent and to call them yourself - verify what information they need and fax it to them. Make follow up phone calls and stay on top of them. Get the name of each person you speak to and keep working your way up the ladder of supervisors if you're not getting response. 

What you have now should be more than sufficient but your insurer may require more info - again, in my experience this is all a stalling tactic. 

Stay on top of them and good luck to youi!

About the Expert

Jim LaPierre

LCSW, CCS

Brewer, United States of America

Specialties

Anger Management, Gay Lesbian Issues, Spirituality, Divorce, Compulsive Disorders, Trauma and PTSD, Life Coaching, Addiction or Substance Abuse, OCD, Mood Disorders, Parenting, Domestic Abuse or Domestic Violence, Anxiety or Fears, ADHD, Impulse Control Disorders, Relationship Issues, Women, Loss or Grief, Eating Disorders, Depression, Finding Your Purpose in Life

License

my_license #LC9830