Hospital bills, doctor visits, procedures
trying to figure out whether the No Surprises Act actually applies here before i pick a fight with the anesthesia billing group, because every time i call the carrier and the provider they each tell...
Got my Explanation of Benefits yesterday and I genuinely cannot figure out what happened. The total billed was $4,200 for a surgery I had in November. My EOB shows "amount paid: $0" and "patient...
I'm still kind of in shock. My gastroenterologist referred me for a colonoscopy after I told him I'd had blood in my stool on and off for about three months. He said given my age (46), family history...
Had knee surgery in October at an in-network hospital with an in-network surgeon. Just got a bill for $4,200 from the anesthesiologist who was apparently out-of-network. Nobody told me this was even a...
I went in for a routine screening colonoscopy. My doctor ordered it, i'm 52, totally standard preventive care. My insurance covers preventive colonoscopies at 100% - no cost sharing. I got the...
Got hit with a denial letter for an MRI my doctor ordered back in February. Reason given was "not medically necessary" - which is wild because I've had ongoing back pain for 8 months and my doctor...
So my wife had knee surgery back in July. We paid everything at the time - copays, the anesthesia bill, all of it. We thought we were done. Then last week out of nowhere we get a collections notice...
Had a routine outpatient procedure done in July. Surgeon was in-network, hospital was in-network, everything was pre-authorized. I specifically called my insurance before scheduling to confirm. They...
I want to share this because when I was in the middle of it I felt like giving up every week. My insurer denied coverage for an outpatient procedure my doctor ordered, claiming it wasn't "medically...
Long post but i hope this helps someone going through the same thing. My insurance denied a surgery my orthopedic surgeon said i needed for a torn meniscus. Said it was "not medically necessary" even...
I cant believe it actually worked! My medical claims claim got approved for the full amount today.What made the difference i think was having detailed photos with timestamps and getting three...
So i had an outpatient procedure done in January. My insurance said the facility was in-network, the surgeon was in-network, everything should be covered at 80/20 after deductible. I paid my portion...
I'm completely lost here and honestly kind of panicking. Back in November I had a knee surgery scheduled. Called my insurance, went through the whole pre-authorization process, got a confirmation...
My orthopedic surgeon submitted a prior auth for knee surgery (torn meniscus, confirmed on MRI) and UnitedHealthcare denied it saying the procedure isn't "medically necessary" yet and I need to try...
I had a colonoscopy last month and my EOB just came in. The hospital billed $4,800. My insurance shows an "allowed amount" of $1,600. My EOB says I owe $480 (my 30% coinsurance after the deductible)....
So I had an outpatient procedure done last month. My EOB came in and the insurance company says they paid their "allowed amount" of $420 on a $1,800 bill. I've met my deductible already for the year...
So i had an outpatient procedure done in January. My insurance said the facility was in-network, the surgeon was in-network, everything should be covered at 80/20 after deductible. I paid my portion...
On my FOURTH appeal for a medical claim. Each denial takes 30-45 days to process. Then I have 60 days to appeal. Then another 30-45 day wait. Were talking 6+ months of back and forth for a $4,000...
Went to the ER, saw a doctor there, got treated and released. Insurance covered the hospital portion but denied the doctors charges saying it was out of network. How was i supposed to know the ER...
Need to get estimates for my medical claims damage before the adjuster comes. Anyone have advice on finding contractors who know how to work with insurance claims?Some people are saying i need someone...