← Return to Denied app to Mayo due to doctor-prescribed opioid pain medication??

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@fairymystry

My best friend was referred to Mayo Clinic and received a phone call to schedule her. During that call, the scheduler asked what meds she was taking and, upon hearing her say that she was on Oxycodone for pain, informed her that she'd have to be off of that for 3 months before she could get an appointment. After that call, both she & her doctor received letters of denial. A couple of things:
She was pretty upset and emotional on the phone but never said that she would not comply. So why the instant denial letter after that phone call??
Also, her doctor said that she was going to speak to someone at Mayo about that but the next thing we know, the doctor got a denial letter as well and I don't guess she ever spoke to anyone at Mayo about the medication OR why she was denied.
I have posted previously about the denial having to do with the Oxycodone but was told on this forum that Mayo doesn't require that (at least not for her condition) so I don't know why the scheduler told her that.
I guess I'm needing some support knowing where to go from here & how to support my friend who is convinced that she will die soon without help. I plan to speak to her doctor with some questions (I'm authorized to communicate with her care team) but wondered if I could call Mayo Clinic myself for clarification or if it doesn't work that way.
She had an appointment with her doc today who told her to see if her GI specialist could refer her to another diagnostic hospital here in Missouri. I see that Mosaic Life Care is a Mayo Clinic Care Network member with GI specialists in St. Joseph but I don't know that she needs to be referred elsewhere - I thought her doctor was going to get answers from Mayo about the Oxycodone. To be honest, I was hoping that the doc would call, find out that the scheduler was incorrect and she would get another call to schedule.
I could use a little clarification, a direction to turn, and some advice as to how to support my friend through this.

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Replies to "My best friend was referred to Mayo Clinic and received a phone call to schedule her...."

@fairymystry, getting in touch with your friend's referring doctor first to find out what he learned from Mayo Clinic sounds like a good place to start. However, it sounds like he was suggesting your friend get a referral to a specialist closer to home at a large medical center.

I'm glad that you're aware of the Mayo Clinic Care Network and have done your research. Mosaic Life Care is a good option as well.

I hope the referring physician can give you more information when you speak with him.

Has your friend or her doctor called to speak to whomever sent the Letter of Denial? I would hope Mayo Clinic would have physicians or other credentialed staff needing to sign off on a
scheduler's decision to deny someone care. I don't know what education qualifications are
required at Mayo to be a scheduler, but it does seem this one person's decision needs to be visited again and explored...he/she may have the requirements confused or a miscommunication as Colleen said. After 13 years of followup care at Mayo Clinic for breast cancer, I just received a letter too, telling me I should receive my care closer to home, that the Breast Speciality Clinic was needed for more "complex cases". That wasn't the case when I first started there and it felt like my choice of where to receive care was taken from me, but I understand. I am getting older and the trip not as easy to do as before. That letter was signed by 2 physicians. Keep us posted of your progress. Prayers for your friend and answers to her painful condition! And for you as you advocate for her... Blessings!