Appt denied after being seen at Mayo years ago for the same issue

Posted by Steveonkennelworth @missy12922, May 19, 2019

I was denied an appt for a condition that I was treated for previously at Mayo. I was under the impression once you were seen previously and issued a patient card and number you could come back. In fact I am pretty sure I was told that by the neurosurgeon I saw many years ago there. He even told me he thought I would need surgery in ten years or so. It has been much longer than that— anyone know about once you have been a patient and the rules regarding coming back for the same condition@? My cervical stenosis is now classified as severe central canal stenosis at c5 and c6 with other disk issues and bone spurs throughout the cervical area. My doctors here have told me they don’t have very good luck with my surgery and that it is not a simple one. The ortho I saw said he didn’t think he was even capable of doing it. I appreciated their honesty and sent everything to Mayo and was denied by them. I had my insurance company call them with me on the line also and they said they accepted it. ! The pain clinic has given me 5 epidurals and and now they aren’t working. I have tried PT numerous times, acupuncture, epidurals medications and everything else available.The pain clinic doctor told me I needed to go to a bigger place such as Mayo or a University hospital setting and that’s why I tried to get an appt at Mayo. I need some help moving forward if I could get some advice. Also does anyone know who reviews your records when you request an appointment? Their letter seemed to be more of a form letter and stated they didn’t offer any alternative treatments that my doctors weren’t already doing— which is nothing. I was actually kind of shocked when I was denied.

Hi @missy12922, getting the denial letter must indeed be confusing, not to mention disappointing. I recommend that you call the appointment office to get an explanation. Alternatively, as you are a Mayo patient, you may wish to contact the Office of Patient Experience here https://www.mayoclinic.org/about-mayo-clinic/patient-experience

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@colleenyoung

Hi @missy12922, getting the denial letter must indeed be confusing, not to mention disappointing. I recommend that you call the appointment office to get an explanation. Alternatively, as you are a Mayo patient, you may wish to contact the Office of Patient Experience here https://www.mayoclinic.org/about-mayo-clinic/patient-experience

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Colleen, Thx I was editing my original post when you commented so I have added some things

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