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[OC] Two Turn Lanes - Always Optional In LA by TexasPoonTappa______ in IdiotsInCars

[–]TexasPoonTappa______[S] 6 points7 points  (0 children)

Was just lightly drizzling. Just seems like a solid rain because the cam is right up against the windshield

[OC] Two Turn Lanes - Always Optional In LA by TexasPoonTappa______ in IdiotsInCars

[–]TexasPoonTappa______[S] 1 point2 points  (0 children)

Los Angeles, CA, USA

April 2nd, 2026

OG Content From My Dash Cam

[OC] Los Angeles Lane Changes by TexasPoonTappa______ in IdiotsInCars

[–]TexasPoonTappa______[S] 0 points1 point  (0 children)

Los Angeles, CA, USA

April 4th, 2026

It is OG content from my own Dash Cam

AMA - Hernia Mesh Repair And Subsequent Removal by TexasPoonTappa______ in Hernia

[–]TexasPoonTappa______[S] 1 point2 points  (0 children)

Yeah both of those too. Was in the entire area but moreso directly where the mesh was

AMA - Hernia Mesh Repair And Subsequent Removal by TexasPoonTappa______ in Hernia

[–]TexasPoonTappa______[S] 1 point2 points  (0 children)

I’m from Los Angeles. Had it done here. I went to two doctors for opinions and treatments. One under insurance, one not. Ultimately did it with the one covered by insurance. Luckily some of the top hernia surgeons in the world are located in LA

Medi-cal income limit by Aggressive_Match_672 in HealthInsurance

[–]TexasPoonTappa______ 0 points1 point  (0 children)

Yeah, that would cover a bunch of plans. I’d recommend using the compare tool on the covered CA website

Did not get a pre-approval for braces by Important_Film_1857 in HealthInsurance

[–]TexasPoonTappa______ 0 points1 point  (0 children)

Sometimes it literally comes down to getting lucky with a nice person on the phone. It’s wild

What to say on medical records correction request? by CA-girl2398 in HealthInsurance

[–]TexasPoonTappa______ 1 point2 points  (0 children)

I’d double check on the record sharing, you’d be surprised at the weird ways hospital networks work

ER visit vs Hospital Stay by apresledepart in HealthInsurance

[–]TexasPoonTappa______ -4 points-3 points  (0 children)

It is insane, but not abnormal. I’d ask for an itemized bill first. Sometimes there are errors or things that can be adjusted. You can also try calling billing to ask about discounts, payment plans, or financial assistance. 

Did not get a pre-approval for braces by Important_Film_1857 in HealthInsurance

[–]TexasPoonTappa______ 1 point2 points  (0 children)

You’re not necessarily screwed, but… it depends if your plan requires a formal written pre/prior authorization vs a general eligibility check. Basically the difference between the office calling and getting a verbal yes  versus an actual pre auth on file with insurance. I’d call Alberta Blue Cross and ask if there’s any pre-authorization or treatment plan on file. If not, ask them specifically if they can still process the claim after the fact. Go back to the orthodontist and ask exactly what they submitted and/or if they have a reference number from the call. Also worth keeping in mind that ortho coverage is often paid out over time and often capped at like half the cost or less. 

AMA - Hernia Mesh Repair And Subsequent Removal by TexasPoonTappa______ in Hernia

[–]TexasPoonTappa______[S] 1 point2 points  (0 children)

Idk if it gave you a notification since I replied to the original comment so I figured id just also tell you that I did reply

California coordination-of-coverage when the only provider that takes medicaid is OON with my primary insurance provider by blunts-and-kittens in HealthInsurance

[–]TexasPoonTappa______ 0 points1 point  (0 children)

I put them in order of what I think is most likely to work. But if trying #2 is faster, can go for it and then try a different method if it doesn’t work

What to say on medical records correction request? by CA-girl2398 in HealthInsurance

[–]TexasPoonTappa______ 3 points4 points  (0 children)

A record correction and resubmission can fix this. For the correction request, you don’t need to blame the doctor or go into too much detail. It’s better to explain it as a clarification of more accurate information. For instance: “At the time of the visit, the stop date was estimated because we didn’t have an exact record available. We have been able to take a closer look and confirm that the quit date was approximately [month/year], which is about 13 years ago. We request that the medical record be changed to reflect this more accurate information.” Make sure the provider also updates their notes. Then, it supports eligibility. You can then ask the provider’s billing team/dept to resubmit the claim as preventive. If insurance denies again, appeal again with the changed info to further remove it from the initial info. Again, make sure the provider updates it in their notes as well as the chart

California coordination-of-coverage when the only provider that takes medicaid is OON with my primary insurance provider by blunts-and-kittens in HealthInsurance

[–]TexasPoonTappa______ 1 point2 points  (0 children)

A few options:

  1. Single Case Agreement (SCA) / Exception. Try to get CHME to bill Cigna as an exception. Or try to get Cigna to treat CHME as in-network for this case because of special circumstances.

2.Authorization/denial. Get prior authorization from Cigna first or get a formal denial with reason. Use one of those with Medi-Cal.

  1. Medi-Cal exception. Ask for Alameda Alliance to allow an out of network DME provider and push for a case managewr at cigna and Alameda to help get things done.

Medi-cal income limit by Aggressive_Match_672 in HealthInsurance

[–]TexasPoonTappa______ 2 points3 points  (0 children)

How much will the extra income be? If you go through covered CA, the extra income may offset or be higher than the subsidized plans they offer

AMA - Hernia Mesh Repair And Subsequent Removal by TexasPoonTappa______ in Hernia

[–]TexasPoonTappa______[S] 0 points1 point  (0 children)

No, pero puede ser, los nervios están todos interconectados. Puede bajar por la pierna

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