safeinOhio
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Fri Jul-31-09 03:25 PM
Original message |
Got a call from the doctors office today |
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BC/BS won't pay part of my hospital bill. Last December I went in with a kidney stone. Now they tell me they won't cover my exam by the urologist's nurse practitioner. Now they tell me. Stupid? It would have cost more to have the urologist do the exam. Seems they can come up with more "got yous" every time. Please get us single payer.
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MADem
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Fri Jul-31-09 03:27 PM
Response to Original message |
1. Who ordered the exam? The doctor? Tell him to pay it, then. |
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I'd tell him to protest to the insurance. Make him do the work.
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SuperTrouper
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Fri Jul-31-09 03:36 PM
Response to Reply #1 |
5. Oh yeah? It is always the doctor's fault. If you don't get your bloody test then |
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your diagnosis would be missed and you'll be looking for John Edwards to take the doctor to court. I believe in single payer but first we must change the attitude of America who feels entitled to everything without even giving it a thought about who will pay for it..as long as you don't pay it. This attitude is not prevalent in Denmark, Sweden, Norway or the United Kingdom, but it indeed is in America. We suffer from the DUnkin Donuts Syndrome, go to the doctor and get all tests under the Sun and if you don't like it, then go to another doctor, etc. etc. etc.
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MADem
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Fri Jul-31-09 03:46 PM
Response to Reply #5 |
8. The doctor needs to fight it out with the insurance company, not the patient. |
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The doctor's Number Two did the exam, clearly under the instructions of the doctor.
Now the doctor needs to justify to the insurance company why he did it like he did it.
Did you even read the fucking OP? The guy HAS INSURANCE, but they're denying it because THE DOCTOR didn't do the exam, his ASSISTANT did.
If the doctor is going to work with that insurance company, he needs to get in their faces and keep resubmitting. And if he doesn't have the time, he needs to hire a fucking pit bull to do that, and tack five bucks on the co-pay of his patients to pay the pit bull's salary.
Two can play that game, if it has to be played. The doctor should not be calling the patient with a weakass "Oh well...." That's horseshit.
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bkkyosemite
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Fri Jul-31-09 03:27 PM
Response to Original message |
2. Tell them you had no choice as the doctor authorized it. |
safeinOhio
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Fri Jul-31-09 03:34 PM
Response to Reply #2 |
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Hell, I just had 3 shots of morphine and I still was hurting like hell.
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Curtland1015
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Fri Jul-31-09 03:28 PM
Response to Original message |
3. My wife went to the hospital with abdomen pain and was TOLD our insurance would cover everything. |
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A few months later we got a bill for several hundred dollars for some "secondary" x-rays that apparently weren't covered.
Effing insurance companies.
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SuperTrouper
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Fri Jul-31-09 03:37 PM
Response to Reply #3 |
7. I agree with you, we do not have insurance companies here, we have insurance discount coupons |
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and that is why we need the single payer system with physicians covered by the government for malpractice insurance
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lib_wit_it
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Fri Jul-31-09 03:37 PM
Response to Original message |
6. Oh, come now, that could only happen if Americans had "socialized medicine"! |
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Best of luck to you as you appeal the decision. I'm sure they're only denying you for your own good...
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old mark
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Fri Jul-31-09 04:17 PM
Response to Original message |
9. I once got a bill from a collection agency for around $300 for |
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"misc. medical expenses." I called them, and asked them what expenses, what doctor, what dates? They said they didn't know they just had a request to bill me for misc. medical expenses.
I told them I would never pay it, and they could bill me all they wanted. They did, for several years. I never paid a cent.
mark
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bkkyosemite
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Fri Jul-31-09 04:40 PM
Response to Reply #9 |
10. By law if they cannot come up with the information you do not have to pay. |
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Edited on Fri Jul-31-09 04:40 PM by bkkyosemite
edit: I think.
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ejpoeta
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Fri Jul-31-09 05:15 PM
Response to Reply #10 |
13. you are right. by law you have a right to have any debt validated by hte |
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person trying to collect it. and if they cannot or won't validate the debt, then they must cease collection activity.
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ejpoeta
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Fri Jul-31-09 05:11 PM
Response to Reply #9 |
12. if it's a collection agency, then you tell them to send you a validation letter |
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so that you know who, what when... blah blah blah. you don't know these people!! have you checked your credit report, because i have stuff on my credit report that was supposed to be paid for by the insurance. if you have anything on your credit report from them, i would dispute it with the credit reporting agencies. my husband could explain it better. he got a lot of baloney off his credit report that way....
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old mark
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Sat Aug-01-09 12:11 AM
Response to Reply #12 |
14. This is what eventually took place. Anyone can send you a letter |
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claiming you owe them money without having facts...I'm sure some people would just pay.
mark
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POAS
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Fri Jul-31-09 04:43 PM
Response to Original message |
11. Thank God you don't have the |
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government getting between you and your doctor
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Tue Apr 23rd 2024, 01:22 PM
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