Nooo, not TIB, anyone but TIB! Sorry you are getting the run around so bad. I HATE the runaround. I would start with calling the OBGYN who ordered the test. He/she knows what is required for the test, and it doesn't seem like they would have written you the prescription knowing no one could perform the test. Since that doctor is the one who is working around your insurance for you, maybe they can advise you on what to try next. If you do have to speak to TIB, try giving her the billing code that the other doctor used. Or you can call your insurance company again. If they pre-approve a test, it shouldn't matter what the billing code is. So yeah, if it were me, I would start with your OBGYN, then if that didn't work out, your insurance company, then TIB as a last resort. I don't know your exact relationship with any of these, so feel free to ignore my advice. That would just be my plan of attack. And yes, it is an attack. Get yourself a Rambo head band and a few nerf weapons you can shoot at the phone while you're on hold ;-) Good luck!
Ask your OB if she has a partner with privileges at the other hospital.
Oh no Alzora! That is terrible. I hope that a solution can be found. xo
Alzora, don't despair my dear. I would first call your insurance and ask them if they can conference call with TIB or speak with her directly. I've had several conference calls with hospital billers/ins, my ins/HR reps, etc. Usually when Lackey A says they've done everything, I ask to speak with their manager. That's when I get results. I think you never did call TIB's office manager, right? You can be very very polite about it while never actually having to speaking to her directly. I've had medical issues all my life as well as crappy crappy insurances giving me the run around since college. It doesn't help that I work in healthcare so I actually know when people are being extra dumb or unhelpful. You have to stick up for yourself and never accept defeat. You can do it! I know you can, but you absolutely have to be your own best advocate.
I liked the idea of a before-baby bucket list so here's mine with some of hubby's too:
- Become board certified (5% of my profession is board certified, which is different than state licensed)
- Hubby is working on his two certifications too, he's done all the course work but needs to prepare for exams
- World Cup 2014 (olá Brasil)
- Visit Israel with hubby (I haven't been there since I was 14, DH never)
- Join a synagogue with a real membership like a grown up
- Dye my hair blonde
- Have hardwood floors refinished
- Go glamping, finally go to the Lavender Festival, likewise the Tulip Festival, visit the Washington rainforest
- Buy the impractically small Fiat
I'm gonna be broke.
Alzora (and everybody feeling discouraged)...hang in there! Hoping for another huge round of berry BFPs soon.
In the meantime, I love blade's bucket list idea. Last fall I convinced DH that a wine tour was a prerequisite for TTC. So I'd say do a crazy amazing wine tour, go boating in case you're too nauseous for that soon, lots of day trips/road trips where you don't know exactly where you're going and when you'll be back, and eat the most delicious and gigantic sushi boat you can find.
Thanks for the tips and support. Ugh...I have been on the phone all day with insurance and various clinics and medical departments. I called Theresa-in-Billing's office back, and this time I spoke with TIB'S co-worker Patty-in-Billing (PIB). PIB is just as stubborn as TIB. She is unwilling to use the magical 614.6 code, because she says she can only use that code if I am diagnosed with pelvic adhesions. I was like, "But this test is done to determine that." She's like, "Yes, but that code can only be used if you've already been diagnosed with the adhesions. If you are having the HSG test done because you are having trouble conceiving, I can only use the infertility code." So TIB and PIB are unwilling to work with me.
I have a call in to my OBGYN who will probably not be in a huge rush to call me back on a non-urgent matter.
As I'm typing this, I'm sitting at my family's dining room table watching my mom play with her two-month-old granddaughter on the floor, and listening to my little sister talk about how cute her baby is, and everything hurts.
Alzora, I want to give you lots of hugs. I've read this thread since the beginning (trying not to post as I don't see that as productive) but I've got to say you are a wonderfully strong young lady and I do so wish you'll get your baby soon. I'm not going to try to understand your pain, but my heart breaks for you, I literally tear up reading some of your posts. I can't imagine a child that would be loved more than your future one.
I'm shaking my head at how much bad luck one person can have Alzora.... Hang in there girl! These things come in spurts. After several instances of crappy luck, good things start to happen.
Here's a short funny story (semi fertility related) to share...
So today is Day 21 of my cycle... time to get more labs done. I've had the referral for these labs now for a couple weeks, and so I dug it up this morning before work. My plan was to get them done on my lunch break (I have a long break on Thursdays) - the lab is right by my place of work. I put the paper on the nightstand in my bedroom and went to take a shower. I get out 15 minutes later and my dog (really a puppy still) walks into the bathroom with a tiny piece of paper stuck to his face. I think "uh oh...what did he get into now?" not thinking it was the referral. Of course it was though. He literally shredded it into tiny pieces all over my bed and bedroom floor. I was so upset with him, because they're supposed to be done today. My pup put himself in his crate and stayed in there until I left - he seemed semi repentant I guess, ha! I tried calling my doctor to get another - of course they're not open yet. Long story short...I had to take a half day off from work. My doctor was working out of her other office today, so I had to call around to find her. A couple of phone calls, faxes, trips to the office later, I got another referral and then raced to the lab to get it done today right before it closed. Whew! Although tomorrow would probably have been fine to do it, I don't get home until really late so I would not have been able to get to my doctor!
I just tell myself take it a day at a time.... :)
Aw, @Ottilie...<3 You are so sweet! Thank you. The kindness on this board brings some cheer to an otherwise discouraging day.
@Nowakasia, thank you also for the support. What a day you've had, too! Glad you got the bloodwork in though. (What kind of puppy do you have?!)
My OBGYN's office called back, and they are unable to help me get this test done at the other hospital. They basically told me to keep calling around to find a doctor who will do it for me there. I can do that. But now the main problem is with the diagnostic code again. I've already been told by two offices that the 614.6 code for pelvic adhesions won't work, because I have to have been actually diagnosed with pelvic adhesions in order for them to use that code. One woman explained to me that pelvic adhesions are found during surgeries and such things because they tend to get in the way. So like, I have no idea how to get that diagnosis. I only had one surgery after the trauma; an orthopedic surgeon put a pin in my pelvic bone several days after the accident. I don't know if pelvic adhesions could have formed that fast for him to spot any. And actually he didn't really have much of an opening to look in--the scar from that surgery is just a tiny blue speck on my left hip smaller than the tip of my finger. It's unlikely that he would have spotted any adhesions in there to give me this coveted diagnosis.
@Blade, is there any way pelvic adhesions can be spotted apart from surgery? Are there any ultrasounds that can spot them in there to get me the stupid diagnosis? But why on earth would doctors do an ultrasound like that for me anyway, and why would insurance cover that....
Here is my current perspective. I'm a Christian, and I know you won't all agree with my viewpoint but this is how I see it. I believe in God, and I believe that he is actively involved in these details of our lives, and I believe that if I really am 100% unable to get this HSG test, as seems to be the case, then I must not need it. Unless an opportunity comes along for me to get this test, then I believe that either A) I must not have adhesions to warrant the test, or B) I must have adhesions that I don't need to know about because perhaps he has plans that do not involve a biological baby for me. Obviously I'm hoping it's A. When I was diagnosed with vaginismus after a year and a half of being unable to consummate our marriage, I was told that physical therapy was available for the condition right in a nearby city. However, my insurance wouldn't cover a cent of said therapy, and I was left devastated, in an unconsummated marriage, thinking I would never have children. But it turns out I didn't need the therapy. A self-help kit available online ended up being so much faster, so much cheaper, and so much easier than driving an hour to therapy a few times a week, and within three weeks I broke through the vaginismus in the privacy and comfort of my own home. So that's how I'm viewing this HSG letdown. God knew that I didn't need the vaginismus therapy because he knew there was an easier path, so he rendered it unavailable to me. And if he is making this HSG test unavailable, then it must be something I don't need to worry about. I'm not ignorantly saying that my Fallopian tubes are all open and working fine; I'm saying that it must not be important that I become aware of their condition either way. There is some comfort in that. I may not get what I want, but I believe that I'll get what is best for me in the end and life will still be good. But that doesn't mean that I don't have heartache right now...I'm sad tonight...sad, but not broken.
@alzora - What she said! We're all thinking of you and I'm glad you have such a strong conviction that everything will happen as it's supposed to. A quote I like to remember when things are tough - "Everything will be okay in the end. If it's not okay, it's not the end."
Originally Posted by dindlee
So, this morning I got a big fat positive! On my ovulation test, that is ;)
I'm so relieved because I was starting to worry I wasn't ovulating properly or something was wrong. My positive turned up two days after ovulation supposedly occurred (according to my phone app). So, Poppy, you were right - I guess I'm a late ovulation/short luteal phase kinda girl after all, lol. Now to spend some "quality time" with my husband later today...