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Sometimes, things are just never easy.

So we contact the sub-acute facility yesterday, because we haven't gotten the details about exactly when we are supposed to bring Miri in on Monday. If it's early, we will have to leave Sunday evening and crash. So I called [livejournal.com profile] queenofhalves to rearrange our date.

Anyway, we call and they say our insurance company is not returning their calls. And that they don't want to admit Miri without the pre-auth. Eleri calls the insurance co and they say that since the facility is out of network, they usually don't do pre-auth such things. She asks about the calls they were getting and the ins co says they knew about them but haven't been returning the calls because it didn't include our ID number. But they hadn't bothered to tell us or the sub-acute facility that.

So she explains that the facility wants the pre-auth, since this will cost $13K for the month. So the insurance co says they can do a review, but they need a copy of the medical records. We have most of them in PDF so we offer to email. No, no they won't take them over email. We have to fax them. And then they'll get together and decide if they will pre-auth. Maybe they'll have it approved next week.

Did I mention that she was supposed to go in Monday? I already got the day off.

By this point, it's after 5pm. On Friday. No one had told us there was any problems until we called on Friday to get the details. So over the weekend, we have NO idea what's going to happen.

Our plan: call on Monday morning and beg the sub-acute facility to admit her early while the rest of the insurance gets worked out. We have to pay them some anyway (30% since it is out of network) so maybe they will take some of that up front so we can get her in.

And in the mean time, because we are not leaving Sunday evening, the plans with [livejournal.com profile] queenofhalves will work. So she's been unable to plan what SHE is doing this weekend because I had to keep changing plans.

Tonight, the sitter takes Miri overnight and I take Eleri out for her birthday.

Now if we can make it through the day. I'm trying to let Eleri sleep in. But Miri keeps screaming. She never stops screaming, even when she's in a good mood. And wants to keep jumping on the bed with Mommy in it. Just gotta make it through today. Then I can think about tomorrow. Someone I met said "When you have an autistic kid, you don't takes things one day at a time. You take them one minute at a time." That is so true.

Date: 2005-10-22 06:50 pm (UTC)
From: [identity profile] dafydd.livejournal.com
Time to write another nasty letter to the insurance company, I think.

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