HELP! BCBS IL or IA members Oakbrook IVIG

[Iowadawn]

Hello!

 

I love this forum! I told my husband I'll see what help I can get from our PANDAS buddies! Everyone who has experienced insurance difficulties probably have unique reasons & explanations for being jerked around, ours is just as unique. Our son had IVIG at Oakbrook Surgical Center Oct 2/3. We live in Iowa and WERE pre-auth'ed for the procedure. We ahve excellent insurance . I am wondering if any of you that have had IVIG, and have BCBS in Iowa or Illinois, and have had a final EOB stating how much Illinois allowed--would PM me with how much Illinois is paying. Dr. K was paid lickety split. Illinois is saying all they would pay to Oakbrook is about $500!!! End of story. IA says it goes by that amount, has questioned it, but too bad, "you'll need to appeal". We ahve been fighting this for over two months, now. I can understand your hestitation to post this info, but could you reach me through PM?? As anyone that has had this procedure done you understand the number of dollars on the line--about 11k for us! FYI, Oakbrook is no longer a PPO provider for BCBS in Illinois. Their contract with BCBS expired TWO days before our son's procedure and it hasn't been renewed. That isn't our real problem, though. Can you help me out with some numbers??

 

Thanks! Dawn