I did the initial visit, reviewed why she felt she needed a breast reduction, did the exam, took measurements and photos, and then after she left sent a letter with documentation (photos, etc) for the precertification.
She received the letter (copied to my office) below which states that she meets her insurance requirements for the surgery. It then clearly states "If Dr Ramona Bates performs the surgery it will not be eligible for reimbursement."
She called to schedule the surgery for early September. I called her back and reminded her that if I did the surgery her insurance would not cover it (not the surgeon, not the surgery center, not the anesthesia, none of it).
"Would you still like me to do your surgery or would you like me to try to find someone in your network?"
"Well, I would really like to have my surgery in September. Do you think you could get me in to see someone soon enough that I could have it done then?"
"I'll try, but I can't guarantee that you might not have to consider a different time for the surgery."
So I called Dr PS1. He is in her network, but can't see her for the initial office visit until September and probably can't get the surgery scheduled until November or December.
Tried Dr PS2. This one, like my office doesn't participate in her insurance network.
Tried Dr PS3 and hit the jackpot for her! They can see her in a week and most likely get her scheduled (since the precert is already done) in early September.
I then called her back and told her the news. "Thank you Dr Bates. I don't know how I can ever really thank you."